Hall of Fame Dinner Registration

First Name

Last Name

Company Name

Email Address

Spouse or Guest's FIRST Name

Spouse or Guest LAST Name

$200 dinner fee goes towards the bill. Fee includes 4-course dinner and drinks.

RSVP to kallen@bema.org by Feb 20^th

Number of Attendees

Please indicate how many people in you party will be attending at $200 each.

Amount To Be Charged

Credit Card

Hall of Fame Dinner Registration Form