CHUGADUG > Conference Registration Information > Form CHUGADUG
 
 
   

CHUGADUG Conference 2009 Registration

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*Check all that apply: Early Bird Registration $50 (by June 24, 2009)
Late Registration $75 (after June 24, 2009)
Guest Reception $20
Exhibitor Fee $600
Exhibitor Bronze Sponsor $900
Exhibitor Silver Sponsor $1,300
Exhibitor Gold Sponsor $3,100
*Institution or Company:
*Name:
Title:
*Address: Street:

City: State: Zip:
*Phone:
*Email:
Guest Name:
The success of CHUGADUG depends on you!
Interested in presenting
at CHUGADUG?		 Yes No
If yes, have you already submitted your paperwork? Yes No
   
 
   
 
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