ARCS Foundation NCCSupernova 2023Scholar Symposium & Scholar Awards Celebration

ARCS Foundation NCC
Supernova 2023
Scholar Symposium & Scholar Awards Celebration

MONDAY, APRIL 17, 2023
THE UNIVERSITY CLUB OF SAN FRANCISCO6 PM - 9 PM
Active and Associate Member Registration Form

IMPORTANT NOTE
Active Members are responsible for a $600 contribution toward the event, for which they are entitled to 4 tickets.
Associate Members are responsible for a $350 contribution toward the event, for which they are entitled to 2 tickets.
Additional tickets can be purchased for $175.

Member Registrant Information

Please note that all fields marked with an asterisk (*) are required.

First Name

Last Name

Company or University

Address

City

State

ZIP

Phone Number

RSVP

I am an Active member paying $600 to support ARCS Supernova 2023 (4 tickets). I am an Associate member paying $350 to support ARCS Supernova 2023 (2 tickets).I would like to purchase additional tickets at $175 each.

Number of additional tickets at $175 each.

Please Indicate the Total Number of Tickets You Plan to Use

Number of Tickets

Invited Guest (if known)

Please provide the name and email address, if possible, for each attendee. To add additional attendees, check the box "Add another person."

First Name

Last Name

When you click on the "Next Page" button you will be taken to a new screen with payment processing information.

Page 2: Registration Summary

Total Amount:

Select your payment method

Credit/Debit CardCheck

To Pay by Credit Card

Fill in the Recaptcha information for security purposes.
Click the "Process Registration" button.
This will submit your registration information to ARCS NCC and take you to the next page.
Click the "PayPal" button on the next page to go to a secure payment screen for processing a contribution or registration.

NOTE: You do not need a PayPal account. Simply choose the "Pay by Debit or Credit Card" option at bottom of screen.

To Pay by Check

Click the "Process Registration" button.
This will submit your registration information to ARCS NCC and your registration is complete.

Checks should be made payable to ARCS Foundation and mailed to:

ARCS Foundation

PO Box 29405

San Francisco, CA 94129-0405

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Contact Information