SDWAC - Event Registration Form

	Fill out this secure form to reserve seating for an upcoming SDWAC event. The contents of this form are sent over a secure, encrypted connection. Your reservation will be confirmed via phone or email in 3-5 days. If you are making out a check, you can make it payable to San Diego World Affairs Council.
	* Entries in Blue are required fields.

Full name:

Mailing address:

City:

State:

Zip code:

Phone number:

E-mail address:

Event you wish to attend:

Membership status:

Food Restrictions:
(if available)

Name of additional
people attending:

Method of payment:

Credit Card number,
(if paying by Visa or M/C)

CC Expiration Date

Comments: