Registration

Starred items '*' must be filled out!"

Your Name *

Email *

Phone#:

Your Address:

City, State, Country *

Please list the name of any organization you are affiliated with:

Would your organization like to be listed as a Participant in our conference?
(Write the name of the organization as you want it to appear in our listing)

Name and email of contact person for your organization
(If not yourself)

Please select the Registration fee that best fits your situation *
$80 Regular$40 Student / Low Income$40 Single Day$100 Sponsor a Student

If you are planning on paying by the day, which day/s do you plan to attend?
FridaySaturdaySunday

Donors: If you would like to make a donation to help others to attend state the amount here

How will you pay? *
Use Paypal or CreditCardBy Check

Please leave this field empty.

Are you interested in purchasing a box lunch on Saturday? *
YesNo

We are happy to hear your comments and questions:

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