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4CS South Gathering of the Senates Registration
We are thrilled that you will be joining us on Thursday, January 31 at Mt. San Antonio College (Mt. SAC)!

Please have each attendee from your senate complete this registration form so that we can have an accurate count of the number of attendees to expect.

Registration: Cost include a continental breakfast, lunch, and handouts.
Early bird: $35.00 per person (payment mailed by January 10, 2019)
Regular/Day Of: $45.00 per person (Cash, check, and credit card will be accepted)
(Payment information will be provided once you complete registration)

Email address *
Your answer
Name *
Your answer
College *
Your answer
Payment Method *
What topic(s) would you like to see discussed at the event?
Your answer
Continental breakfast and lunch will be provided. Do you have any dietary restrictions? *
Your answer
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