EmailMeForm
2022 Annual Picnic Registration
Fill in this short form and submit it to register for the Carolina Southern Division, NMRA sponsored event listed below:
2022 Annual Picnic to be held at Kannapolis Village Park 700 W. C Street, Shelter B.
Name
*
First
Last
Are you an NMRA Member?
*
Yes
No
Attendance for this event is limited to current NMRA members, their spouses, and their immediate family members only.
NMRA Membership Number
*
NMRA Division
If you are a member of an NMRA Region/Division other than the Carolina Southern Division, please enter your region (MER, SER, etc.) and Division Number (12, 13, etc.) here.
Number Attending
*
Please enter the total number in your party above.
I will be bringing the following:
*
Please select
A side dish to share
A dessert to share
Both a side dish and dessert to share
Don't count on me for anything
Your Preferred Contact Phone Number
*
###
-
###
-
####
Your Preferred Contact Email Address
*
We will use the contact information to confirm your reservation and inform you of additional details and any late changes to the event.
Comments:
Web Site
File Upload
Powered by
EMF
Free Form Builder
Report Abuse
