Chapter:
College:
Contact Advisor:
Advisor Email:
Member Name #1:
Member Name #2:
Member Name #3:
Member Name #4:
Member Name #5:
Member Name #6:
Member Name #7:
Member Name #8:
Member Name #9:
Member Name #10:
Advisor Name #1:
Advisor Name #2:
Total # of Attendees:
Cost $50 per person before Friday, July 16, 2010
Cost $60 per person starting Saturday, July 17, 2010
Cost is for members and alumni.
NOTE: Cost does NOT include Breakfast on Saturday or Sunday as both hotels have continental breakfast available.
Total Cost:
Food Considerations:
Complete this registration form, print off a copy to include with your payment, and then
hit submit. Looking forward to a GREAT conference in July AND August!
Please submit payment (checks or POs) to:
North Idaho College
Attn: Lynn Hill
1000 West Garden Avenue
Coeur d'Alene, ID 83814
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