Last Tuesdays - Registration

LastTuesdays Registration Form

We get together after work from 5:30 p.m. to 7:00 p.m. on the last Tuesday of every month to explore opportunities for collaboration and enhance the probability of wealth creation in our Manhattan Community. Please complete the following pre-registration form if you are interested in attending the event. If you have any questions, call 785-532-3358 or email lt@lasttuesdays.net

- Traci Rothlisberger, Communications Coordinator
Innovative Solutions



PLANNED ATTENDANCE DATES
	Please indicate which month you are registering for:
	January
	February
	March
	April
	May
	June
	July
	August
	September
	October
	November
	December

	Have you attended a Last Tuesdays event before?
	Yes
	No

CONTACT INFORMATION
	Please complete all fields that apply to you. Items marked with a * are required.
Contact Name:	*
Phone:	*
Email Address:	*
Business Name:
Home Page:
Business Location:
Fax:

TELL US A LITTLE ABOUT YOURSELF
	What best describes you.
	Entrepreneur (exploring new business opportunities)
	Business Person (representing an established business)
	Researcher
	Investor
	The following area is optional, but it will allow us to learn a little more about what you hope to gain from your networking experience. If you are a researcher, what type of research do you do? If you are an investor, describe the types of businesses you are most interested in. If you are a business person, please briefly describe your business. For example, do you sell products, provide services, or a combination of both? What category in the Yellow Pages would your business most likely be found?

Years in Business:
Number of Employees:

Once your entries are accurate and complete, please select the button below. The system will take a moment to process the entries and then it will display a confirmation page.

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