Register

Complete this form and click the submit button. If you need assistance, send an email to info@cantonima.org.

Select the meeting month
(a choice is required)

The meeting itself is free. Dinner is optional and costs $30 for members/guests and $15 for students. Should we reserve a dinner for you?

            

Note: checks and cash only. 

Your name

Your company/school

Your title

Your email
(required for confirmation)

 

Address

City, State, Zip

   

Phone

Are you a member or a guest?

 

Please enter this number in the field provided. If you do not, you will receive an error message.