2022 DAP Diversity Lunch Registration - Diversity Awareness Partnership

Name (who is purchasing this registration?)*

First Last

Company/Organization/School*

Address*

Street Address City State ZIP Code

Email*

Phone*

Are you registering under a company's 2022 Diversity Lunch Sponsorship?*

Yes
No

If yes, which company?

Individual Lunch - Number of Tickets*

10 tickets comprise 1 whole table.

Individual Lunch Ticket*

Price: $95.00

Please re-enter the number of tickets you are purchasing in order to calculate your total cost at the bottom of this form.

Attendee #1 Name

First Last

Attendee #1 Email

Attendee #1 Lunch Selection

Chicken
Vegetarian

Attendee #2 Name

First Last

Attendee #2 Email

Attendee #2 Lunch Selection

Chicken
Vegetarian

Attendee #3 Name

First Last

Attendee #3 Email

Attendee #3 Lunch Selection

Chicken
Vegetarian

Attendee #4 Name

First Last

Attendee #4 Email

Attendee #4 Lunch Selection

Chicken
Vegetarian

Attendee #5 Name

First Last

Attendee #5 Email

Attendee #5 Lunch Selection

Chicken
Vegetarian

Attendee #6 Name

First Last

Attendee #6 Email

Attendee #6 Lunch Selection

Chicken
Vegetarian

Attendee #7 Name

First Last

Attendee #7 Email

Attendee #7 Lunch Selection

Chicken
Vegetarian

Attendee #8 Name

First Last

Attendee #8 Email

Attendee #8 Lunch Selection

Chicken
Vegetarian

Attendee #9 Name

First Last

Attendee #9 Email

Attendee #9 Lunch Selection

Chicken
Vegetarian

Attendee #10 Name

First Last

Attendee #10 Email

Attendee #10 Lunch Selection

Chicken
Vegetarian

Total

$0.00

CANCELLATION POLICY
If you need to cancel your registration, 14 business days’ notice prior to the lunch is required for a refund of your registration cost. No refunds will be made after this date for any reason. Substitutions will be accepted until October 14, without additional charges. Please contact Tina Mahtani at tmahtani@dapinclusive.org with cancellations or questions.