EPEC-EM Detroit Registration
June 7th & 8th- Wayne County Community College Downriver Campus
Name
*
First Name
Last Name
Title
*
Professor, Dr, Ms, Mr, etc.
Institution or Organization
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Questions or concerns please contact Dr. Buchheister: buchheis@gmail.com
Registration Fee
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USD
$795.00 until May 15th, 2024; $995.00 after May 15th, 2024
Credit Card Details
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Credit Card Number
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