2025 LEAD Conference Registration
February 3-5, 2025
Name
*
First Name
Last Name
School/Organization Name
Position
E-mail
*
example@example.com
Phone Number
*
Address
*
Street Address
City
Please Select
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State
Zip Code
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
Registration Payment
*
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Individual Registration
($140 after January 3)
$
125.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Card Expiration
Security Code
Please click one of the PayPal options to complete payment and
submit
the form.
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