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IMPORTANT NOTE, MANDATORY READING

This form is NOT for conference registration.
This for membership selection only.

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Errors Your registration could not be submitted yet because there are some problems with the information you provided. Please see the details highlighted in red.
Important

If you have already registered and feel an error was made, please do NOT attempt to register again.

Instead, please contact us to resolve the issue.

Registration Type
Registration and Contact Information
First Name
Last Name
Maiden Name
Phone Number
Personal Home Email Address
Personal School Email Address
Mailing Address
Address
City / Town
Postal Code
Previous Mailing Address (if applicable)
Address
City / Town
Postal Code
School Information
Name
Division
Phone Number
Fax Number
School Admin / Office Email Address
Business Information
Business Name
Phone Number
Fax
Business Email Address
Other Information
Additional Notes
Complete Registration
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