2017 MI-CAPP - SLS Registration
Registration survey for the 2017 MI-CAPP Student Leadership Summit
TRIO WORKS!
Institution/Agency: *
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Contact Person: *
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Street Address: *
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City, State, ZIP *
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Telephone: *
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Email: *
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Fax:
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Program Type *
# Students (Full Conference) X $185.00:
Your answer
# Staff (Full Conference) X $185:
Your answer
# Students (Saturday/Sunday) X $175:
Your answer
# Staff (Saturday/Sunday) X $175:
Your answer
# Students (Saturday Only) X $145:
Your answer
# Staff (Saturday Only) X $145:
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# Scholarship Banquet Guests (For family and guests of scholarship recipients ONLY) X $40:
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TOTAL # of Pre-College Participants:
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TOTAL # of College Participants:
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Total # Requiring Vegetarian Meals:
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Total # Requiring Other Dietary Accommodations:
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Specify Other Dietary Accommodations:
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