Bentley User Group Officer List/TBA Event - OLD

Please complete the following form to help us support your user group in 2016.

By completing this form your group will be added to the official list of Bentley User Groups. Once your group has been established for a year it is eligible for complete Bentley User Group support program.

1. Official User Group Name:
(Example: Florida Local Users Group) *This question is required.

2. Official User Group Acronym:
(If applicable)
(Example: FLUG) *This question is required.

3. User Group Website:

4. Date(s) of your 2016 event(s).
(Even if dates are tentative) *This question is required.

5. Location(s) of your 2016 event(s):
(Even if location is tentative) *This question is required.

6. Estimated Number of Event Attendees: *This question is required.

7. Will you be requesting hardware and technical support
(computers, projectors, etc.) *This question is required.

Officer #1 Contact Information:

First Name *This question is required.

Last Name *This question is required.

User Group Officer Position/Title *This question is required.

Organization/Employer *This question is required.

Address *This question is required.

Apt/Suite/Office

City *This question is required.

State/Providence *This question is required.

Postal Code *This question is required.

Country *This question is required.

Email Address *This question is required.

Phone Number *This question is required.

Fax Number

Mobile Phone

URL

Officer #2 Contact Information:

First Name

Last Name

User Group Officer Position/Title

Organization/Employer

Address

Apt/Suite/Office

City

State/Providence

Postal Code

Country

Email Address

Phone Number

Fax Number

Mobile Phone

URL

Officer #3 Contact Information:

First Name

Last Name

User Group Officer Position/Title

Organization/Employer

Address

Apt/Suite/Office

City

State/Providence

Postal Code

Country

Email Address

Phone Number

Fax Number

Mobile Phone

URL

Officer #4 Contact Information:

First Name

Last Name

User Group Officer Position/Title

Organization/Employer

Address

Apt/Suite/Office

City

State/Providence

Postal Code

Country

Email Address

Phone Number

Fax Number

Mobile Phone

URL

Officer #5 Contact Information:

First Name

Last Name

User Group Officer Position/Title

Organization/Employer

Address

Apt/Suite/Office

City

State/Providence

Postal Code

Country

Email Address

Phone Number

Fax Number

Mobile Phone

URL

Officer #6 Contact Information:

First Name

Last Name

User Group Officer Position/Title

Organization/Employer

Address

Apt/Suite/Office

City

State/Providence

Postal Code

Country

Email Address

Phone Number

Fax Number

Mobile Phone

URL

Officer #7 Contact Information:

First Name

Last Name

User Group Officer Position/Title

Organization/Employer

Address

Apt/Suite/Office

City

State/Providence

Postal Code

Country

Email Address

Phone Number

Fax Number

Mobile Phone

URL

8. Additional officers or comments:

Bentley User Group Officer List/TBA Event - OLD - DO NOT USE

Page 1 Form