ITMS Conference Registration Form:
Open the Registration Form as a PDF Document
Name:
__________________________________________________________________
Address:
__________________________________________________________________
City:
___________________________ State, Zip: _____________________________
Phone: _____________________ Email:
____________________________________
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Non-Member - $290.00 |
$_______ |
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$_______ |
|
$_______ |
|
$_______ |
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$_______ |
Please print and return this form, with check or money order made out to
ITMS, to:
Michael W. Higgins
ITMS 2013 Conference
Sacred Heart University
5151 Park Avenue,
Fairfield, CT 06825-1000