Event Signup

Register for the Advocates Workshop on October 1, 2010. Seating is limited to 50 people. Cost for the workshop is $40. You can pay through Paypal with your Paypal account or a credit card without an account. One registration per person. Fields with (*) are required.

First Name (*)
Last Name (*)
Title (if applicable)
E-mail (*)
Phone (day) (*)
Address
City
State (*)
Zip Code
Please list special accomodation needed.