Add New Record in MySQL Database

You are registering for the following training.

Training Site: BASF
Training Date: Tuesday January 23rd 2018
Training Address: 100 Park Avenue
City: Florham Park, NJ
Contact Name: Nayan Shah
Contact E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
Additional Details: 6:30 - Security-Registration-Food 7:00 - Training begins

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:

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