Sign In
OC Book Club

Join the OC Book Club for their monthly discussion.

Date: Saturday, Jan. 22, 2022
Time: 2 - 4 p.m. PT
Book: "All That She Carried" by Tiya Miles
Live via Zoom




Required fields are indicated with an asterisk (*).
Registration
SelectDescriptionAmount
Complimentary Tickets - No Donation Required
Sub-Total:
Tax-Deductible:

Grand Total:
Tax-Deductible:
 

Personal
Title:
* First name:
  Middle name:
* Last name:
  Suffix:
UCLA graduation year(s):

Contact Information
* Street:
 
U.S. Addresses  
*   City, State, Zip:
Non-U.S. Addresses  
  Non-U.S. City/County
  or Province/Postal Code:
  Country:
* This address is my:
* Home telephone:
Business telephone:

* E-mail address:
* This e-mail is my:

 
 Employer:
 Job Title:
 Pronouns:
Guest Details

If you are the main registrant, no need to include yourself below as we have your information above.

Your First Guest:
 First Name:
 Last Name:
 Email address:
 Alumnus/a of UCLA?:
 UCLA graduation year:
Your Second Guest:
 First Name:
 Last Name:
 Email address:
 Alumnus/a of UCLA?:
 UCLA graduation year:
Your Third Guest:
 First Name:
 Last Name:
 Email address:
 Alumnus/a of UCLA?:
 UCLA graduation year:
Your Fourth Guest:
 First Name:
 Last Name:
 Email address:
 Alumnus/a of UCLA?:
 UCLA graduation year:
Your Fifth Guest:
 First Name:
 Last Name:
 Email address:
 Alumnus/a of UCLA?:
 UCLA graduation year:
Your Sixth Guest:
 First Name:
 Last Name:
 Email address:
 Alumnus/a of UCLA?:
 UCLA graduation year:
Your Seventh Guest:
 First Name:
 Last Name:
 Email address:
 Alumnus/a of UCLA?:
 UCLA graduation year:
Your Eighth Guest:
 First Name:
 Last Name:
 Email address:
 Alumnus/a of UCLA?:
 UCLA graduation year:
Your Ninth Guest:
 First Name:
 Last Name:
 Email address:
 Alumnus/a of UCLA?:
 UCLA graduation year:

 
Comments: