STORM Conference Registration
Event Timing: November 14 - 16, 2017
Event Address: Motel 6, Vicksburg, Mississippi
Contact us at RStogner@msstorm.net with any questions
Name
Your answer
Email
Your answer
Last 4 digits of social security number
Your answer
Cell Phone
NOT home or department number
Your answer
Agency/Organization
Your answer
Only the first thirty (30) registrants will receive complimentary rooms. Do you want STORM to pay for your room?
List your preferred roommates: (list 3 people)
Your answer
STORM will assign my roommate
Required
Wednesday Night Meal
Comments/Questions/Notes
Your answer
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