ASC REGIONS 6 & 7 2014 STUDENT COMPETITION

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UNIVERSITY FACULTY AND STAFF- REGISTRATION FORM

Please complete this form carefully to ensure you are registered correctly!
Only submit the form once.
A valid event name badge is required for entrance to ALL events.

Note: If your University is not listed under "University Name" please contact, labrown2@csuchico.edu

Check the Web site for registration at, http://asc67.org/reg_university.html

Send questions to: labrown2@csuchico.edu

First Name *

Please do not use ALL CAPS!

Last Name *

Email Address *

Must be "@university name.edu" to be a valid registration.

University Name *

Please read carefully and double check before submitting the form! This will appear on your name badge!

Choose *

Faculty Member

Staff Member

Spouse or Guest of Faculty Member

Required

Attending Welcome DInner? Wednesday Feb. 5 - 6:00 PM [Sponsored by Granite and Balfour Beatty] *

Welcome Dinner is for University Faculty and Students Only.

Yes

Attending Faculty & Industry DInner? Thursday Feb. 6 - 6:00 PM [Sponsored by The Raymond Group] *

Faculty and Their Spouse or Guest

Yes

Submit

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