Conference Registration
Name *
Email *
Phone *
Alt. Phone
State *
I would like to purchase a lunch for $7.50. Please pay with cash or check the day of conference. No cards accepted. Thank you. *
 Yes 
 No 
If yes, choose one.
 Turkey Sandwich, potato salad, fruit salad, cheesecake, water. 
 Roast Beef Sandwich, potato salad, fruit salad, cheesecake, water. 
I would like to purchase a printed syllabus (Estimate: $5. Note, a CD of the syllabus will be made available to everyone that registered by October 15th free of charge.) *
 Yes 
 No 
Notes
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