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Registration for VISION Conference
Please complete this form to register your state for the Region 6 VISION Conference and Pre-Conference Event.

Cost of Registration per person: $175
Checks payable to:
Mail to: AASC
c/o Executive Director: Danny Collie
3408 Lucky Pine Road Donaldson Arkansas 71941

DEADLINE to register due - May 1st
Delegate Information Form & Payment due - May 17th
No refunds for cancellations, however, substitutions may be made until- May 17th

After you complete this form, additional paperwork will be emailed to the state director to list the names, school, grade and additional info about your conference attendees.
DEADLINE - May 17th

Email address *
Your email
Your answer
STATE *
Your answer
Your answer
Official Name of State Organization *
Your answer
Your answer
Executive Director's Name *
Your answer
Your answer
Mailing Address of State Association *
Street Address :
Your answer
*
Address Line 2 :
Your answer
*
City, State, Postal/Zip Code :
Your answer
State Director Cell Phone Number *
Your answer
Your answer
State Director Email *
Your answer
Your answer
Name of person who will oversee the State Delegation, if NOT the State Director *
Your answer
Your answer
Email of State Director Designee *
Your answer
Your answer
State Director Designee Cell Phone Number *
Your answer
Your answer
Number of Advisers Attending *
Your answer
Number of Students Attending *
Your answer
How many are attending the Pre-Party *
Your answer
Which Hotel will you be staying? *
Your answer
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