MEUW District Dinner Registration
You can use this form to register yourself and up to four other guests. (Please use an additional form if more than five are registering.)

Please call the MEUW Office at (608) 837-2263 with any questions. 
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Email *
Your name *
Organization *
Are you registering yourself to attend?  *
Guest 1 Name
Guest 2 Name
Guest 3 Name
Guest 4 Name
Which dinner are you registering to attend? 
* Each session begins with a cash bar at 6:00 p.m., meal at 6:30 p.m., and a brief program to follow.
 *
Required
Please use this space to notify us of any dietary restrictions you or your guests may have

By checking "YES" below, I am confirming registration(s) for the District Dinner event checked above. I understand that my utility will be billed after the event. 

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Required
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