Register for the MiCoOp Summer Conference August 3 & 4, 2020
We look forward to seeing you! Please complete this registration form. We use the information to plan for food, make name tags, and contact you with additional information about the conference.
Name (Will be printed on name tag) *
Your answer
District/Organization *
Your answer
Title/Role *
Your answer
email address *
Your answer
Mobile phone number
Your answer
Day(s) Attending *
Are you planning to join us for dinner on August 3rd? (While dinner is pay-for-your-own, we use this to reserve seats in the restaurant.)
Would you like a boxed lunch on the second day, August 4th?
Please list any dietary restrictions (used for lunch the first day, and breakfast and lunch the second day).
Your answer
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