Midwest Clinic Early-bird Invoice Request
Please complete this form if you need an invoice to present to your school or organization in order to process credit card payment for early-bird Professional registration for the 2024 Midwest Clinic. 
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Email *
Name *
Organization/School *
Mailing Address *
Number of Professional Registrations *
Number of College Student Registrations
Number of Primary/Secondary Student Registrations
Number of Guest/Chaperone Registrations
A copy of your responses will be emailed to the address you provided.
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