3rd Annual CASS Conference - Registration Form
UNITY IN DIVERSITY FOR PEACE: Using Non-Violent Means to End the Conflict in South Sudan
September 30 – October 1, 2017
Grandview University - Des Moines, Iowa
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Organization
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Address 1
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Address 2
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City
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Email
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Phone Number
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If needed, are you willing to be a volunteer during the conference
Emergency Contact Information (Please include name, relationship to you such as "wife", phone number, email address)
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I understand that I am responsible for my own travel and accommodations for the conference.
To help cover the cost of the conference (light breakfast and lunch included), please make a suggested registration fee of $25 ($30 after September 15th) through Paypal ( https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=CRKPLF236VUE6 ). Thanks
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