Please provide the following contact information:
How would you like your name to appear on your badge? (Company name will be used for a transferable season badge)
Amount of the check:
Are you a FEI member? Yes No
Tax Identification Number: 94-2856229
Questions? Contact Bill O'Brien at (408) 924-3468
MAKE CHECK PAYABLE TO: SJSU A&F Roundtable SEND PAYMENT TO: San Jose State University One Washington Square, BT 850 San Jose, CA 95192-0066 ATTN: Bill O'Brien