2017 Human Trafficking Conference
T-Shirt - Add $10
Student w/ID - $20
Volunteer - $0.00
General - $25.00
Presenter/Panelist - $0.00
Survivor - $0.00
Group Rate 8 or more - contact us at email@example.com
Pay with Purchase Order - contact us at firstname.lastname@example.org
I understand and agree to the following:
I must pay registration by October 1st. Payment can be paid by check, money order or online (link provided once registration is submitted). Mail checks to Phoenix Rising, PO Box 50830, Bowling Green, KY 42102
If my registration is not paid by October 1st, I will be charged the late registration fee of an additional $10.
Registration is transferable but not refundable
By checking here, I agree to and understand all the above statements
Will you require childcare? $5 per child, $10 maximum. NOTE: No one under the age of 16 will be permitted to attend the workshops.
Please list name and age of children attending
At the end of the conference, the A21 Walk for Freedom 2017 will be held. Would you like more information on this event? It will take approximately an hour.
A copy of your responses will be emailed to the address you provided.
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