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.