RSVP for Whiskey Red's on October 6

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RSVP for Whiskey Red's on October 6

Capacity will be limited for aligning to social distancing requirements.
Each attendee must wear a mask.
Attendees must show proof of vaccination.

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* Indicates required question

I affirm that I am vaccinated, I will wear a mask and I will bring proof of vaccination. *

Yes

No

Required

First Name *

Your answer

Last Name *

Your answer

Title *

Your answer

School or Office *

Your answer

Preferred email *

Your answer

Are you an ACSA Region 16 member? *

Yes

NO

I will bring the following guest.

Your answer

I will also bring the following guest.

Your answer

I will also bring the following guest.

Your answer

I will also bring the following guest.

Your answer

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