June conference online registration

 

June 2 & 3, 2017

If you are paying through paypal, you must continue to scroll down BELOW the form to submit your payment.

Name:*
Workplace:*
Phone:*
-
E-mail:*
Membership Number:
Please select one: (OPTIONAL)
Please select one:*
Special Diet Needs for lunch:
Please check here if you have a disability and may require accommodations in order to fully participate:
Saturday, June 3/17 : 1st Choice
Saturday, June 3/17 : 2nd Choice
Saturday, June 3/17 : 3rd Choice
Select payment method (payment is not processed through submitting this form):*

PAYMENT through PAYPAL options BELOW:

MEMBER PAYMENT

MEMBER Registration Options




NON-MEMBER Registration Options



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