First Name (required)

Last Name (required)

Your Email (required)

Your Phone Number (required)

Institution Name (required)

Job Title (required)

Interested in becoming a Board member?
 Yes
 No

Choose the event(s) you are interested helping with:
 Essentials of Purchasing
 Managements' Forum
 Buyers' Forum
 Regional Fall Conference
 Other Programs

Choose the committee(s) you are interested in helping with:
 Fall Conference
 Membership and Marketing
 Professional Development
 Editorial Board
 Nominating Committee

Choose the talents you could contribute to the organization:
 Design logos and graphics
 Amateur/Professional Photographer
 Computer technology and internet skills
 Entertainer (DJ skills, comedian, actor, singer, musician, etc.)
 Writer for fiction and non-fiction
 Other

Any additional comments, interests or concerns?

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