Add New Record in MySQL Database

You are registering for the following training.

Training Site: Clifton Memorial Library
Training Date: Saturday August 25th 2018
Training Address: 292 Piaget Ave.
City: Clifton, NJ 07011
Contact Name: Phyllis Goldblatt
Contact E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
Additional Details:

Club Name
First Name
Last Name
Officer E-Mail

Vice President of Education
Vice President of Membership
Vice President of Public Relations
Sergeant at Arms
Non Officer

Additional Information:

Charter DateClub Name/Club Number
July 2nd 2018Hudson County Community College