SBE Event Registration

Los Angeles Ennes Workshop - STUDENT REGISTRATION

KPCC Headquarters, 474 S. Raymond Ave., Pasadena, CA 91105
Saturday, May 4, 2024

Please use the form below to register up to three people from your organization for the Los Angeles Ennes Workshop - STUDENT REGISTRATION - KPCC Headquarters, 474 S. Raymond Ave., Pasadena, CA 91105.

Member Status	Fee
Member	No Charge
Nonmember	No Charge

Registrant #1

Required fields are marked with^*.

First Name^*

Middle Initial

Last Name^*

Address^*

Address - cont

City^*

State
(Required for
USA residents) ^*

Zip Code/Postal Code^*

Country^*

SBE Member?^*

	Yes
	Member Number
	No

Daytime Phone^*

Email^*

Registrant #2

If you are registering a second person, required fields are marked with^*.

First Name^*

Middle Initial

Last Name^*

Address^*

Address - cont

City^*

State
(Required for
USA residents) ^*

Zip Code/Postal Code^*

Country^*

SBE Member?^*

	Yes
	Member Number
	No

Daytime Phone^*

Email^*

Registrant #3

If you are registering a third person, required fields are marked with^*.

First Name^*

Middle Initial

Last Name^*

Address^*

Address - cont

City^*

State
(Required for
USA residents) ^*

Zip Code/Postal Code^*

Country^*

SBE Member?^*

	Yes
	Member Number
	No

Daytime Phone^*

Email^*