ETOM Fall 2019 Conference Registration
Grand Valley State University
Russel H. Kirkhof Center
1 Campus Drive, Allendale, Michigan 49401

ETOM Members:
$80 Early Registration
$100 (After Oct 19)
$50 Accepted Presenters

$100 Early Registration
$120 (After Oct 19)
$50 Accepted Presenters
Name *
First and last (used for name tag).
Your answer
E-mail *
Your answer
Title/Department/Discipline *
Your answer
Institution *
Your answer
Address *
Street, City, State and Zip Code
Your answer
Phone *
Your direct line/extension, including area code
Your answer
Who should receive the invoice? *
Never submit passwords through Google Forms.
This form was created inside of Educational Technology Organization of Michigan (ETOM). Report Abuse - Terms of Service