New England ERA Event Registration

Young Professionals Networking Night

DATE & TIME
Thursday, May 28
6:00 – 9:00 p.m. EDT

LOCATION

Broken Records Beer Hall

85 Guest St.

Boston, MA

Please register by filling out the form below and submitting your secure, online payment. 

Contact Name *

First

Last

Company Name *

Email Address *

Phone Number *

Are you an ERA member? *

• Yes
• No

Choose number of attendees and member status: *— Select Choice —1 attendee – ERA MEMBER RATE – $50.002 attendees – ERA MEMBER RATE – $100.003 attendees – ERA MEMBER RATE – $150.004 attendees – ERA MEMBER RATE – $200.001 attendee – Non-Member Rate – $60.002 attendees – Non-Member Rate – $120.003 attendees – Non-Member Rate – $180.004 attendees – Non-Member Rate – $240.00

Attendee 1 Name *

First

Last

Attendee 2 Name (if applicable)

First

Last

Attendee 3 Name (if applicable)

First

Last

Attendee 4 Name (if applicable)

First

Last

Total

$0.00

Credit Card *

Card

Name on Card

The contact email address listed above will receive an electronic receipt.

Name

Submit