Event registration

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Event registration

Event Timing: January 25-26, 2021
Event Address: Virtual
Contact us at gacollegecounseling@gmail.com or cwheelus@liberty.edu

Email *

2021 Theme... "The Spirit of College Counseling"

Your Name (NOTE: Your email address is collected by GCCA's executive council for us to send your registration invoice, payment receipt, and CE certificates) *

Your Organization *

What days will you attend? *

Both Days (see payment information below)

Only for the session that I will present

Required

License(s) Type, Number, State *

NCC? *

Yes

Your address for us to mail your t-shirt to you *

T-SHIRT size *

XXL

XXXL

Your REGISTRATION Category (fee includes conference CEs, t-shirt, and GCCA 1-year membership) *

Professionals $125

Student $100

Retirees $100

I am only presenting my session and not attending any other part of the conference (please contact cwheelus@liberty.edu)

Indicate your method of PAYMENT (please use the information provided beside the method). Note: GCCA’s EIN# (Taxpayer ID#) 58-2174683... this conference remains a non-profit endeavor. GCCA's cancellation policy: 100% refund prior to December 14, 2020; 50% refund December 14, 2020 to January 11; 2021 No refund after January 11, 2021 *

ZELLE... to GCCA’s Bank of America account... Account Email: alaughte@augustatech.edu GA College Counseling Association

CHECK (mail your check with your email of this registration)... Payable to: Georgia College Counseling Association, Mail to: GCCA Treasurer, c/o Amy Laughter/BLDG 1300, Augusta Technical College, 3200 Augusta Tech Drive, Augusta, Georgia 30906

Other or Questions? Ask GCCA’s treasurer alaughte@augustatech.edu or president-elect cwheelus@liberty.edu

A copy of your responses will be emailed to the address you provided.

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