2020 VCCA-BCC Symposium Registration “Bridging The Gap to Student Achievement Through Diversity”

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VCCA member rate:$120 per attendee, VCCA NON-Member rate $150. Please send your payment to our VCCA Treasurer or make your online payment at the link provided at the end of this form.

Last Name *

First Name *

Position

School or Agency

Email *

Work Phone

Cell Phone

Will you be first-time attendee?

Yes

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What is your current 2020 VCCA member category? (check all that apply)

Administrator/Faculty

Support Staff

VCCA Executive Committee

Associate Member (Alumni, Board Member, Friend)

BCC Officer/MAL

N/A

Other:

Please check the appropriate registration type.

VCCA member in good standing $120

Non-Member $150

List any special accommodations or assistance you need in order to participate in the conference, for example dietary needs, etc.

Submit

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