Your name:
Your e-mail address:
Are you an FPEA member?
Yes:
No:
Name of event:
Date of event:
(Please allow at least two weeks notice)
(Ex. Monday, July 30,2006)
City:
Sponsoring organization, if any:
Description of event:
Cost to attend:
Location:
Directions:
For more information, please contact:
(Please include phone with area code and/or email address)
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