CERA-PartyRequest

Party Request Form

Have to be a MEMBER!
Please complete this form to request a date and time to schedule a party at CERA.

Your CERA Member #

Name:

Email

Phone Number

Please do not post more than one time, upon completion you will receive
a confirmation of your entry. All entries are date and time stamped.
We will potentially contact you by either text or email, so be sure your information is accurate.