Register for the IMA Dinner meeting.

Note: IMA now accepts online payments through Pay-Pal. When you complete the form below, you will be redirected to a secure Pay-Pal online payment page.  The only acceptable payments on the day of the meeting are cash and checks. Credit Card payments will no longer be accepted at the door.

Your Name:

Your Email Address:  (requires a valid email address)

Your Telephone:  (with area code)

Your IMA Member Number

Registering as?

IMA Member         Guest         Student   

What type of meal would you like?

Regular meal           Vegetarian meal  

Your comments or questions:

        


 

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