CTPA 2023 Drive-In Conference Registration Form

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We are excited that you will be joining us for our Drive-In Conference! We are looking forward to reconnecting and seeing you in person. Please take the time to review and complete the following registration items.

Date: Friday, March 31, 2023

Time: 10:00 AM - 3:00 PM

Check-In Opens at 9:00 AM

Deadline to Register and Pay: Wednesday, March 22, 2023

Registration Cost: $30 per person (only online payments will be accepted)

Please review prior to making payment: Directions for How to Submit Payment

Online Payments accepted at: CTPA 2023 Drive-In Conference Payment

Location: Chatham County Agriculture & Conference Center

1192 US Hwy 64 West Business

Pittsboro, NC 27312

Please know that pictures will be taken during the conference for use on CTPA's website and marketing materials.

Information regarding lunch and conference agenda will be provided closer to the conference date.

For further information or questions about the CTPA 2023 Drive-In Conference, please contact President-Elect, Lynn Criswell at ctpamembership@gmail.com or lcriswell@cfcc.edu . Please indicate CTPA Conference in the subject line.

Email *

Confirm your Email Address *

Name Prefix

Your First Name *

Preferred Name

Your Last Name *

Your Professional Title *

College/Organization you are affiliated with *

Your Work Mailing Address

Street Address, City, State Zip Code

Best Contact Phone Number (in case we need to contact you with any questions) ###-###-#### *

Please select one of the following: *

I currently work at a North Carolina Community College

I currently work at a North Carolina 4-year Institution (public or private/independent)

I currently work at one of the System Offices

Other:

I have the following food restrictions (indicate all that apply). Please note we will do our best to accommodate your needs. *

I have none

Dairy Free

Gluten-Free

Vegetarian

Other (we may contact you to learn more about your needs)

Required

I will need the following accommodations during the event:

I am intending to or have submitted a program proposal. *

Yes

Maybe

Four-Year Institution Reps Only

I would like to request a table to share information about my institution.

Yes

Clear selection

Last step!

1. Please make sure you follow the directions provided in the CTPA Spring 2023 Payment Directions document.

2. Complete your Registration Payment Here

(You will receive an email receipt upon submission of your payment - please check your Spam/Trash folder if you do not see one in your Inbox)

Send me a copy of my responses.

Submit

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