Preserving Our Heritage Summit Registration

Preserving Our Heritage Summit Registration
Name *

First Name Last Name
Email *
user@duq.edu
Phone Number *

Area Code Phone Number
Phone Number Type *
Role *

Archivist Congregational Leader Member of Women Religious Community Member of Men Religious Community Historian Volunteer Diocesan Organization Student Other
Diocese *
Organization
How did you hear about us? *
A continental breakfast and boxed lunch are included with your registration.
Food Allergies and Dietary Restrictions (if none, please indicate) *
Special Accommodations
Will you be driving and need parking? (if carpooling, just one individual should indicate, Yes) *

Yes No
The registration fee for this event is $10 for general admission. This is waived for Duquesne University students. Please indicate if a scholarship to cover this expense would be helpful in allowing you to attend. *

Yes, a scholarship would be helpful. No, a scholarship is not required. I am a Duquesne University student.
On clicking Submit, you will be re-directed to CASHNet to pay by credit card or electronic check/ACH.
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