Congratulations, you have entered the on-line registered system. We need the
following information, if you have not already supplied it, for each attendee. Please take
a minute and fill out this form and hit the submit button below.
Most of these fields are required, if you have trouble, please contact us so we can help.
Check
Purchase Order
Paid/waived by host
Payment Method:
(select one or note
other in comment box
below)
NOTE:
Checks and Purchase Orders must be mailed separately to Maine Robotics.
Filling out this on-line form reserves a space at the workshop while payment is being
mailed.
If you have questions contact our office.
Please submit this form for EACH person attending, thank you.
Workshop(s):
Please select the location of
the workshop you will be
attending.
You may select multiple
optioins by using the shift
key.
Falmouth - 9/12
Auburn - 9/13
Farmington - 9/15
Bangor - 9/19
Hallowell - 9/24
Attendee name:
Address:
City/Town:
Zip Code:
State:
Your phone number:
Your email address:
Comments:
* If the attendee is under age 18 at the time of the workshop, they must be
accompanied by an adult or have contacted our office for approval.
14 to 17 age range
18 or older
Attendee age:
WORKSHOP INFORMATION FORM
REQUIRED FOR ALL ATTENDEES
or send information on registration form (brochure)