January (1/13) Membership Meeting Registration
Please fill out this form to register for the January (1/13) Membership Meeting.

We require BPS ID # as it helps us verify membership. Please be sure to enter your exact ID #.

In the case that you do not have one (For example: you are retired) please enter "000000"
BPS ID#: *
Last Name: *
First Name: *
Personal (NON-BPS) Email: *
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