Regular or Student Registration
Please choose the appropriate registration in the form below. Thanks!
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payments are processed through Square. You may pay using any major credit card / debit card.
Products
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Regular (Adult) Seminar Fee
$
60.00
Meal Choice
Regular (chicken divan, roll, coleslaw, pie)
Vegetarian
Gluten Free
Student Seminar Fee
$
35.00
Meal Choice
Regular (chicken divan, roll, coleslaw, pie)
Vegetarian
Gluten Free
Credit Card
Submit
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