2020 Every Student Counts Conference

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EVENT REGISTRATION FORM

Pre-Conference Date: April 23rd, 2020
Time: 3:00 p.m. - 5:00 p.m.
Registration Fee: $10

Spring Drive-In Date: April 24th, 2020
Time: 9:00 a.m. - 4:00 p.m.
Registration Fee: $30 (breakfast & lunch included)

Location: Arkansas Tech University

Supported by:
Arkansas Tech University
Arkansas Student Affairs Association (ArSAA)

Email *

First Name *

Last Name *

Institution *

Job Title *

Mailing Address *

Phone Number *

Dietary Restrictions or Food Allergies

Conference Registration *

Pre-Conference Only - $10

Spring Drive-In Conference Only - $30

Both Pre-Conference and Spring Drive-In Conference - $40

Payment Method *

Pay via PayPal using credit/debit card (See next page)

Pay by Check (See next page)

Pay Onsite (Please bring check or card to event registration)

Cancellation Policy *

By checking this box, I agree to the Event Cancellation Policy. Cancellations can be made in writing to the ArSAA Treasurer by April 17th. No refunds will be processed after April 17th.

Required

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