SPE "Wonders of Plastics" Awards Night & Plastics Education

FREE DINNER and TOUR of the NHRA MUSEUM - March 7, 2018

“The joy of making things: An educational and professional journey”

NOTE: This form is for credit card registration.For check or cash payment use the pdf registration form. 
For assistance with online registration call Tom Tudor 909-647-5515.

EVENT & STUDENT SPONSORSHIP (optional)

This event is designed to introduce high schools students of the opportunities available in the plastics field. Students that participated in the Wonders of Plastics essay contest and their parents attend at no cost. Your sponsorship helps SPE fund this event and the monetary awards given to the essays winning recipients and their school.

Student Sponsorship:

Event/Program Sponsor:

Attendee Registration

Includes NHRA Museum tour, dinner and awards presentation. 
Registration & Tour 5:30PM, Dinner 6:00PM, Presentation after dinner.

Enter Attendee (s)

*Attendee/Sponsor 1st name

*Last name

*Email

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Attendee 2 first name

Last name

Email

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Attendee 3 first name

Last name

Email

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Attendee 4 first name

Last name

Email

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Attendee 5 first name

Last name

Email

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Attendee 6 first name

Last name

Email

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Total Billing To Credit Card

Registration Total:

Billing Information

Company:

Address Line-1:

*Credit card billing address

Address Line-2:

City:

State:

Zip Code:

Phone:

888-888-8888

Credit/Debit Card Information

*Expiration Month:

From your card

First Name:

From credit card

Middle Initial:

Last Name:

From credit card

Card Number:

No dashes or spaces please

Expiration Month:

From your card

Expiration Year:

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Card Brand:

CVV2

Card security code

CVV2 for MasterCard, Visa and Discover cards. Enter 3 digits number shown on the signature side of these cards. 
CVV2 for American Express. Enter The 4 digit number shown above the 15 digit number on the front side of the card.

E-Mail Receipt:

Note: Registration confirmation and credit card receipt will be sent to the e-mail address listed above.

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