Add New Record in MySQL Database

You are registering for the following training.

Training Site: Celgene
Training Date: Tuesday January 30th 2018
Training Address: 86 Morris Avenue
City: Summit
Contact Name: Michelle Tropper
Contact E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
Additional Details: Celgene Conference Center Building J Room J-1120B Alternate date (if inclement weather): 2/13. Please note: If there is inclement weather on 1/30, any decisions about cancelling the event will be made by 2:00pm that date. We have reserved 2/13 as our alternate, location to be determined. Once a location is confirmed for the alternate date, this post will be updated.

Club Name
First Name
Last Name
Officer E-Mail

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

Additional Information:

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