Individual Registration

Please enter information in the form below to process registration for event PMI Membership Happy Hour & Networking Event.

First Name *

Last Name *

Organization

Phone

Email *

How did you hear about this event? *

If other, please specify. *

PMI Member ID# (Required for PDU Reporting)

Ticket

Member ($10)

Student ($10)

Veteran ($10)

Non-Member ($15)

Coupon

Amount

Discount Amount

Net Amount

Payment Method

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Cardholder Name*

PMI Membership Happy Hour & Networking Event - Individual Registration