Conference registration
Conference Timing: April 20-21, 2017
Conference Address: California Lutheran University, 60 West Olsen Rd, Thousand Oaks, CA 91360
If you have questions contact Carol Coman at (805) 493-3376 or coman@callutheran.edu
Southern California Consortium
First Name
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Last Name
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Badge Name
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Email
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Institution/Organization
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What days will you attend?
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Dietary restrictions
$65 Registration Fee
To pay by credit card:
Open up a separate tab and go to URL https://commerce.cashnet.com/CLUPRE
Make sure you "SUBMIT" this form to complete the registration

To pay by check:
Please make check payable to PCOHI
Mailing address: Attn Carol Coman, Mail Code 3500
California Lutheran University, 60 W Olsen Rd, Thousand Oaks, CA 91360

I understand that I will arrange my own hotel accommodations
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