HACA Luncheon Registration Form

for 22 April 2010


Use this registration form to reserve your seats at this HACA luncheon meeting.  Register yourself, a guest, or as many as ten (10) people.  Please submit a complete form.

Sorry, no credits or refunds will be issued for booked reservations.


HACA Luncheon Registration Form


                           * (asterisk) indicates required fields

                           Contact information for person sending this form:

                           Name *                               Company *                         Phone *              eMail *
                          


                           Contact information for persons registering for this luncheon:

                           Name                          Company                     Member  Guest  eMail
                                        
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       



Have a question before you register?

Contact Elvia Bazan at 713.837.0416 or haca_elvia@yahoo.com

 

Read Carefully, Then Click "Submit" Button:

Once you have entered the information requested above, click the SUBMIT button below (only once, please).

After clicking the Submit button, a confirmation page will appear on your screen to confirm that your information has been forwarded electronically to HACA.  

To pay online, follow the text link on the confirmation page to the secure electronic payment system.  You may pay with VISA, MasterCard, American Express or Discover.

If you do not wish to pay online, you may pay by check or cash at the door. No credit card payments will be acceptaed at the door.  All tendered payments, electronic or otherwise, are final.  Refunds or credits will not be available.

Please be patient, as it may take more than 60 seconds for the confirmation page to appear.  Do not back out of this page until the confirmation page appears on your screen.  The confirmation page is your assurance that your information has been submitted to HACA's electronic application system.


Do not double-click Submit button; click only once, please.