NOSS Midwest 2020 Virtual Symposium Registration Form  

NOSS Midwest 2020 Virtual Symposium Registration Form
Name

First Name Last Name
School Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
Role on Campus

Math faculty English faculty Reading faculty Administrator Advisor Learning/Tutor Center
Join us for our first ever virtual symposium, including live-streamed, interactive

• Panel discussions
• Breakout sessions
• Lunch and learn roundtables
• Our 1st business meeting as NOSS Midwest
• Featured keynote speaker
…and more!

Help us [RE]cast the challenges of the past as opportunities to grow and improve higher education for all students and educators. Call for proposals and registration are open now!
Registration Options:
prev next ( X )
Virtual Conference Registration $ 30.00
Access to "live" conference sessions, access to conference materials, plus one year membership in NOSS Midwest

Virtual Conference Registration $ 25.00
Access to "live" conference sessions and access to conference materials

Membership in NOSS Midwest Only $ 10.00
Yearly Membership

Total $ 0.00
Choose Payment Option

PayPal, Credit/Debit Card Check
To pay by check, please make payable to "MRADE" and remit to:

Justin Bernaix
NOSS Midwest Treasurer
Caldwell Hall 5800 Godfrey Rd.
Godfrey, IL 62035
Phone: 618-468-4711
Email: jbernaix@lc.edu

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

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