First Name
Last Name
Email
Phone Number
• Number of additional guests (do not include yourself in this count)
  - Select a Value - 0 1 2 3 4 5 6 7
• Many members are using these events to sponsor a table so that the club can invite additional members of the community to participate in these important discussions. Would you like to sponsor additional seats or a table?
  Yes Not at this time
Number of sponsored seats:
- Select a Value - 0 1 2 3 4 5 6 7 8 9
Number of sponsored tables (10 seats):
- Select a Value - 0 1 2 3 4 5
• Would you like to be in charge of filling these sponsored seat(s), or would you like the club to fill them on your behalf?
  I'd like to fill the sponsored seat(s)/table(s) I'd like for the club to fill the sponsored seat(s)/table(s) N/A
• Are you also a member of one of our strategic partnership organizations?
  Roanoke Bar Association Junior League of Roanoke Valley Taubman Museum RAMP

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