Nutrigenomics & Spice Up Your Medicine Cabinet

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Nutrigenomics & Spice Up Your Medicine Cabinet | May 14, 2022

Orange District members, please fill out this form.
After you submit the form there is no other action required.
You will receive a confirmation right away.

Requested payment
- This event is FREE for Orange District members.
- Non members pay $20.
- Students, dietetic interns and retirees are requested to pay $10.
Please fill out this form and use the PayPal link to pay with a credit/debit card.
Completing the registration REQUIRES DOING BOTH 1. Paying + 2. Returning to submit this form.

Registration closes on Friday, May 13 at 11:59 pm.

We are available to answer additional questions regarding your registration. Email candorangedistrict@gmail.com and put "May 14th Event" in the subject line. Thank you.

Email *

Welcome! This fun and informative lecture will supply 3 CEUs. The handouts will be sent with the Zoom meeting link on Thursday, May 12th, so check you email inbox. Thank you.

Your first and last names. (Nonmembers are kindly asked to specify if a different name is associated with the PayPal account you will be using.) *

Please supply the Email you wish us to send the meeting link to. *

What do you want to know more about with nutrigenomics? Or what's something you want to know more about regarding the health benefits of herbs and spices? *

Can we share your contact information with the event sponsor, if a sponsor is participating? *

Yes

Are you already a registered member of Orange District? *

Yes, I'm a registered Orange District member. Then this event is FREE for you. Please ignore the next section with a PayPal link. Please scroll down to SUBMIT this form and you will receive a confirmation message.

No. Please use the PayPal link in the next section to pay $20 + return to SUBMIT this Google form. Both paying and submitting this form are required. After you SUBMIT this form, you will receive a confirmation message.

No, but I have credit from a previous payment and will supply the code.

No, but I am a student, intern or retiree. Use the designated PayPal link in the next section to pay $10 + return to submit this Google form.

If you have a previous payment credit and received the emailed code from Alicia, please write the 5-character code here.

ATTENTION NON MEMBERS of Orange District. Use this PayPal link. Your one-time fee is $20.00. After you return to SUBMIT this form, you will receive a confirmation message. Thank you.

To pay your one-time of $20.00 with your credit card, use this PayPal link and return to submit this registration form. Please remember to do both steps.
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=32UGYFC66BSB4

Students, interns and retirees, use this link to pay $10 and return to submit this form.
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=P8KAX3S4VJJ4W

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms