Central Valley Mother Lode Regional Consortium Annual Retreat Registration

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Annual Planning Retreat

Crowne Plaza, Ventura, California

JUNE 12th - 14th, 2023

Please complete this registration form to reserve your attendance the 2023 Annual Planning Retreat
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Registration for this event is $75.00

Please submit this online form to confirm your attendance for the Annual Planning Retreat at the Crowne Plaza, Ventura for June 12th -14th, 2023.

The registration form is for all 3 days of the annual retreat. Regional Swag will be given to registered attendees of the retreat.

More specific information about Key Note Speaker, etc. will be coming soon
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Full Name* This field is required.
First Name
Last Name
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E-mail* This field is required.
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Phone Number* This field is required.
Area Code
Phone Number
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Number of people attending* This field is required.
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Additional attendees:If registering other attendees from your organization, please enter name, title and email address for each attendee:
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Any Dietary Restrictions or Allergies?
Please list for each person registered.
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Billing Department Contact:* This field is required.
Bill to:
Attention to:
Billing Address:
Accounts Payable email:
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Registration TotalPlease input number of attendees for this invoice:
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ORDER SUMMARY
Total costUSD
Annual Planning Retreat RegistrationRegistration Fee: $75.00 per attendee.
$75.00+Edit
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An invoice will be sent to your Accounts Payable Department for $75.00 registration fee per attendee for the CRC Annual Planning Retreat 2023:

Remit payment to:

Kern Community College District - CRC Fiscal Agent

Attn: Dr. Jessica Grimes

2100 Chester Avenue, Bakersfield, CA. 93301-4099
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