OSRHE : Student Veterans' Statewide Conference

CONFERENCE REGISTRATION

VeteransConf2008

We have reached maximum capacity for the conference, and therefore, registration is now closed (this does not apply to presenters).

* First Name:

* Last Name:

* Title:

* Organization or Institution:

* Address:

Address 2:

* City:

* State:

* Zip Code:

* Phone Number:

Area Code - Prefix - Number x Extension

* Email Address:

Special Needs:

* Payment Options:

$40 (CHECK to be brought to the Oct. 8 conference) $40 Purchase Order PO#:

Guest speakers, moderators and panelists do not need to pay with their registration. Simply write: speaker, moderator or panelist in the PO# box.