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Educational Conference Registration Form
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Registration Type
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MOIAI Member ($110)
Non-Member ($140; includes MOIAI membership for the next year)
Student ($40)
Spouse ($40)
Last Name
*
Your answer
First Name
*
Your answer
Agency/Business Name
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Your answer
Preferred Email Address
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Your answer
MOIAI Number (if applicable)
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Payment Type
*
Check (payable to "MOIAI"; mail to P.O. Box)
Credit Card (via MOIAI Square site)
As of today's date, I hereby submit my registration for the Missouri Division of the International Association for Identification Yearly Educational Conference.
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