**IMPORTANT NOTE**

This form is integrated with Airtable and Square.
Any changes made may affect the integration. Please contact the IT Team before making updates to ensure everything continues to work smoothly and no issues occur.

Description - for Square reporting

Registration and Ticket Purchase

If you have any questions or concerns, please contact us at 605-274-8794.

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email*

example@example.com

Sioux FallsRapid City

What Organization or person would you like to sit with?*

Number of Tickets*

Total Amount Due*

Credit/Debit CardRequest Invoice

Total Due (Calculation field)

Field for Clearing DO NOT DELETE

Total Due (for Integration)

Total Amount Due:*

USD

Credit Card

Square Transaction (for integration)

EmailMail

Send Invoice to:*

First NameLast Name

Email (Invoice)*

example@example.com

Phone (Invoice)*

Please enter a valid phone number.Format: (000) 000-0000.

Company/Organization Name (Invoice)*

Address (Invoice)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code