ACR Houston Annual Meeting and Winter Social 2023
Sunday, January 29, 2023
4:00 pm - 6:00 pm
Location: Zoom



ATTENDEE * required
First Name *

Last Name *

Organization / Affiliation Name:

Position/Title:

Phone Number: (include area code) *

E-mail: *

Please re-type your email address: *


Need help with registration?
Email us at info@acrhouston.org.

 

TICKET(S) *
 ACRH Members - $0
  (Free for members with dues paid for 2023)
 All Non-Members - $10 per person

# Total TICKETS (Including Guests)


GUEST NAME(S)
 

TOTAL REGISTRATION FEES
$

Payment Help Document

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Credit / Debit Card Information (all fields required)
Card Type

Cardholder's First Name

Cardholder's Last Name

Credit Card Number

Exp Date
(e.g.: 05/2024)
Security Code

 

Cardholder's Billing Street Address

Billing City

Billing State
(2-character state code)
Billing Zip Code

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(2-character country code)