Annual National Fire and Emergency Services Dinner
Table Registration


Thank you for choosing to attend this year's National Fire and Emergency Services Dinner. Please enter the names of the individuals that will be sitting at your table. If your organization has purchased more than one table, please complete a separate form fo each table. There will be a link that will forward you to a new form after you submit your information for your first table. Please enter a table number for each table that you have in order to please with preference of table placement for your organization.

Organization Name:    
Primary Contact:    
Email:    
Phone:    

Table #:
(Only applicable to organizations purchasing more than one table)

   
 

Seat 1:

Seat 6:
Seat 2: Seat 7:
Seat 3: Seat 8:

Seat 4:

Seat 9:
Seat 5: Seat 10:
 
Additional Comments:
Example: handicapped seating needed, 11th name for table, would like to sit on balcony of ballroom, changes to existing names (enter new name to replace old name), any additional comments
 
 

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