2024 ARCS Foundation Atlanta Scholar Awards Celebration - Members and Friends Registration

2024 ARCS Foundation Atlanta Scholar Awards Celebration
Wednesday, November 13, 2024

Welcome to the Members and Friends Online Registration

If you are unable to attend, click HERE to register regrets.

If you are able to attend, proceed to register yourself and any guests below.

Questions? Email Janis Henry at jjhenry14@comcast.net.

BE SURE TO INDICATE IN THE BOX THAT FOLLOWS THE TOTAL NUMBER OF PEOPLE YOU ARE REGISTERING, INCLUDING YOURSELF.

How many people are you registering? *

(including yourself)
Fill in your registration information on this page. If you are registering additional people, you will be able to enter their registration information after you complete this page and click "Continue".

Atlanta Scholar Award Celebration Registrant

We will use Name Badge and Organization Affiliation when we print your name badge. Please make sure these fields are the way you would like them on your name tag.

First Name *

Nickname (if preferred)

Last Name *

Name Badge is a required field. List how your name is to be printed on your name tag. Include titles such as Dr., Hon., Gen., if applicable.

Name Badge *

List how you would like the name of your organization affiliation printed on your name tag i.e. name of University/Company/Foundation/Volunteer Organization.

Organization Affiliation

Position

Email *

Click dropdown arrow to view all options and select the option that best describes your relationship to the Atlanta Chapter.

Relationship to Atlanta Chapter *

ARCS Atlanta Donation

Please consider a tax deductible donation to ARCS Atlanta. Your support ignites our work! Note - If you are registering a guest who would like to make a donation, register your guest here first and then direct your guest to go to the Donate button on the atlanta@arcsfoundation.org site to make their tax deductible donation.

Donation Amount

Place contribution amount in box without $ sign.

Credit Card Processing Fee

Total for this participant

Credit Card

If you have a PayPal account, you can click the PayPal button to continue. Otherwise, fill in the credit card and billing information on this form and click Continue at the bottom of the page.

Checkout securely. Pay without sharing your financial information.

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *