Archive:Chapter registration form


 * School name:
 * Contact name:
 * Address:
 * Email:
 * IM:
 * Mobile phone:
 * Non-mobile phone:
 * Chapter name:
 * Contact info:
 * Homepage:
 * Blog:
 * Wiki:
 * Mailing list:
 * Number of members (people who attend meetings):
 * Number of core team members (people who do work):
 * Are you registered with school? Yes/no
 * Do you have a budget? Yes/no
 * How big is your budget? (Give an estimate/range if you're not sure)
 * Stuff you want (check boxes):
 * Free Culture t-shirts
 * Creative Commons
 * Electronic Frontier Foundation
 * Public Knowledge