RM_StatsREGISTER TO ATTEND Please complete the form below and then press the Submit button. Once Submitted you will be redirected to the PayPal Payment Gateway after a slight delay. You will have a choice to pay by PayPal (if you are an account holder) or by Credit Card by clicking button link (Pay with Debit or Credit Card) at bottom of redirected page.5> * RequiredFirst NameLast NameEmailAddress 1Address 2CityStateNJPANYDEMDVAOHState (other)Zip CodeMeal Preference Chicken Vegetarian Pasta Seating RequestIf you are paying for others, for each attendee's information, list their Full Name, Email Address, Meal Choice separated by a comma on the same line (begin a new line for each attendee's information). If you don't know their email address list your own. Full Name, Email Address, Meal ChoiceTotal Payment Amount$65$130$195260$325$390$455$520$585HVEF Donation Chairman Only Area - PBM Paid by Check Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.