:: CSI Mt Rainier ::

To Register Online and Pay by Credit Card through PayPal

Please Complete the Following form to register.

CSI Mt. Rainier Chapter collects this information strictly for our own use and
does not allow any other company, organization or individual access
to this information.

Required fields are marked with *.

Note: Online Registration is not available the Day of the meeting

Please complete the following form to register and pay by check or cash. $35.00 for CSI Mt Rainier Members $10.00 for Student *Required fields are marked with .**
Select Meeting*
First Name*
Last Name*
Company*
Phone*
Email*
CSI Member	Yes No
Number of Guests
Please Provide First Name, Last Name, Company and Email
Guest 1
Guest 2
Guest 3
Guest 4
Guest 5
Guest 6
Guest 7
Guest 8
Guest 9
Guest 10
	Contact Bob Kenworthy, FCSI, CCS, CCCA if you need help registering or have any questions about a meeting: (253) 931-4826