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MEANT ANNUAL BANQUET Registration Form

- $25 per family (includes at least one MEANT member, spouse and children).
- $10 per individual (should be a MEANT member).
- $25 per guest.

Membership fee - Student: $20, Single: $50, With Spouse: $75, Life Member: $500

Name *
Email address
Address
(example, 123 joe st, city, tx -zip)
Telephone
No of Adult Attendees
No of children Attendees (less than 10 years old)
No of children Attendees (over 10 years old)
Includes Membership
Yes No
Amount
(Please enter the amount as per the rate sheet above, including guest fee. If you are paying membership fee, add that too. )
Remarks
(Please give the name of attendees, excluding children, separated by ;)
 

(On clicking the submit button, you will be shown a confirmation screen. Upon confirmation you will be directed a secured payment site to complete your payment).