AFCEA Small Business Bridging the Gap Series: FindingOpportunities
* = Required Field
*
First/Given Name
Middle Initial
*
Last/Family Name/Surname
Preferred Public First Name
For example: Jim instead of James.
Title
Organization
Public Badge Preview
:
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Show Badge Preview
*
Email
*
Email Confirm
*
Work Phone
Special Arrangements
(handicap access, special meals)
Cost:
USD $
*
Card Type
Select a Card
Visa
Master Card
American Express
Diners Club
Discover
*
Name on Card
Cardholder Email
(If different from Attendee)
*
Card Number
*
Expiration Date
month
01
02
03
04
05
06
07
08
09
10
11
12
year
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
*
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(letters only)
I consent that you may use the data provided in this form to manage my account and provide services in accordance with the AFCEA
Privacy Policy
.
Yes
No
I consent that you may send me related material believed to be of interest to me in accordance with the AFCEA
Privacy Policy
.
Yes
No