I would like to hear a speaker make a presentation on the topic of:

I am interested or know of someone who would be interested in speaking at one of our upcoming meetings? Please contact (Name and Phone):

I know of a company that is interested in hosting a plant tour. Please contact (Name and Phone):

I know of a restaurant or catering facility that would make a great place to have our dinner meetings. Please call (Name and Phone):

I would be more likely to attend a meeting if (check all that apply):

The cost was less.

The location was different.

The meeting was held at a different time (lunch or breakfast meetings).

I had the option of hearing the speaker, and not attend the dinner.

The speaker interested me.

Other (Please describe)

The best APICS meeting (topic, speaker, dinner, etc.) I ever attended was:

I am interested in becoming more involved in the chapter. This can earn me points for my CPIM and CIRM certification maintenance program. Some of the opportunities that are available include board membership, company coordinators, and instructors.

Please have someone contact me (information listed below) to discuss opportunities that are available: YES     NO

My email address is:

Optional Information:

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Thanks for your help!