IEEE North/Central Jersey GOLD, PACE, WIE Co-Sponsored Field Trip to Historic Speedwell Registration Form

You MUST fill out this form to RSVP for the upcoming event, if you have problems submitting this form, please contact the mixer organizer at northjerseygold "AT" ieee "DOT" org

This form collects information to gather statistics on the audience who is interested in attending the event. It is also used to get a head-count for seating, ordering food, etc. The information in this form will in NO WAY be made public to anyone outside of the organizers of this event. It is used primarily to communicate new information to the attendees and keep them informed of events happening in the region.

Fields in BOLD are required for pre-registration to the event.

First Name: Last Name:

Email Address:

Enter your registration status.

Any Student, IEEE member and student, Non-IEEE member and student, IEEE member and non-student, Non-IEEE member,

Mailing List Info

If you would like to subscribe to the North Jersey Section GOLD Acitivities Mailing List to get regular email about this and other events like it in the greater NY-NJ Metro Area. Select the buttom. Join Local Mailing List YES NO

(Note: This is a low volume email list that distributes information one way and is used only for IEEE related business, addresses are not given out to anyone.)

If you have any troubles with the registration form, just email the organizer, northjerseygold "AT" ieee "DOT" org to register directly.