Wufoo

Registration for TED event

Get together for an evening of Bertucci's pizza & salad and we'll view selected TED videos. April 29, 2009. 5:30-8 p.m.

Name * First Last
Affiliation
Email *
Please tell us your pizza preference (Bertucci's pizza & salad)
No preference Vegetarian Meat lover
Are you a member of NEASIST? *
Yes No
Payment method *
Paypal ($10.00) Cash at the door ($10.00)
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