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October 1st Online Summit
Online D & C Symposium Registration – March 6, 2021
Please fill out the information below to register for this event.
Please enable JavaScript in your browser to complete this form.
Name (First and Last name of each attendee):
*
Email (email for each attendee):
*
Email of person completing this registration form:
*
District
*
Campus/Department (for each attendee)
Registration Type
*
DC Symposium Live Online Only ($95)
DC Symposium Live Online + Product Package ($135) - write your shipping address in Comments section for products
Digital Symposium Pass Only ($50) - no access to live event
Digital Symposium Pass + Product Package ($90) - write your shipping address in Comments section for products
Group rate - if you are registering more than 10 - we will reach out to you with discounted pricing prior to payment
Planned Form of Payment
Purchase Order (upload below or email to
[email protected]
)
Credit Card (link on next screen)
Purchase Order upload
Click or drag a file to this area to upload.
If your PO is not yet ready, just upload it once you have it or email it to us at:
[email protected]
You can also fax it to 866-729-4817.
Comments/Questions:
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