ASQ 0511 - On-line Reservation and Payment Form

American Society for Quality
Section 0511 (Northern Virginia)
Online Credit Card Reservations or Payments


Credit Card Payment Note:

The Northern Virginia Section 0511 now accepts accept credit cards on-line directly through PayPal. Please complete the top part of this form if you wish to make program-only reservations or to pay at the door,

If you wish to pay by credit card please use the PayPal button below (you will need a PayPal account).

Reservations:

Please use the comments section below to expand on your reservation or make other comments as may be needed, including if you are making a reservation but planning to pay at the meeting by alternate methods (check, cash, or credit card in person).

Comments:

First Name
Last Name
Phone Number
E-mail Address

  • Please bring a signed copy of the ASQ COVID-19 Liability Waiver and Release of Claims for each attendee.