Groves 2016 Conference Registration Form

Groves Conference Online Registration
Groves 2016 Conference

Gender, Sexual Identity, and Families: The Personal is Political

Renaissance Hotel, Downtown Denver, CO

August 4-7, 2016
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
I will attend:
PLEASE CHECK THE APPROPRIATE BOX OR BOXES. No refunds available after July 15.
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Groves Member, Full Conference, $375$375.00

Nonmember, Full Conference, $475$475.00

Fulltime Student Conference $250$250.00

Groves Member, Single Day, $200$200.00

Nonmember, Single Day, $250$250.00

Fulltime Student, Single Day, $200$200.00

Companion for Banquet, $70$70.00

Donate to General Groves Fund$1.00

Quantity

Donate to Goebel-Macklin Fund$1.00

Quantity

Donate to Feldman Fund$1.00

Quantity

Donate to Sussman Fund$1.00

Quantity

Total $0.00
Dietary Needs
Should be Empty: