Registration for Students

ACT Workshop Series

September 21-22, 2024

Note: If you are a student wanting CE credits, please register as a professional.

Contact Information

*First Name:

*Last Name:

*Name as it should appear on Name Tag :

*Email:

*Street Address:

 

*City:

*State:

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

*Zip Code:

*Phone Number:

Additional Information

*Organization/Institution:

*Do you have any food restrictions?(type N/A if none)

Workshop Registration

	Session	Description	Cost
	September 21 - 22, 2024	Full Workshop	$175
	September 21, 2024	Saturday Only	$90
	September 22, 2024	Sunday Only	$90

Comments

 

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