NCOHS Conference Registration Form
Friday, November 4, 2022
8:30am - 2:30pm
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Name: *
Which classification represents you? *
Mailing Address: (Enter your PO or Street along with the city and zip) *
College, University or Agency Name: *
Phone number:
Email address: *
Personal email (so we can stay in contact even after you graduate) *
Dietary Restrictions: Please list any special dietary restrictions you may have....
How will you pay for the $30 registration/membership fee? (11-2-2022 payment by Paypal only) *
**If paying by check: Write the check out to NCOHS but mail it to:
Montgomery Community College
Attention: Amy Frieary
1011 Page Street
Troy, NC 27371
**If you wish to pay through Paypal, use the link below:
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