2019 Senior Mobilization Conference

2019 CO Indianapolis Senior Mobilization Conference
The conference starts at Noon on Saturday, September 28th and concludes at 5pm on Sunday, September 29th.
Name *

First Name Last Name
Gender *

Male Female
Email *
example@example.com
Phone Number *

Area Code Phone Number
Campus: *
If "other" please specify your school:
What is your major? *
Expected Graduation Date: *

December 2019 May 2020 December 2020
Please list any food allergies and/or dietary restrictions you have:
Registration *

SMC 2019 $ 25.00

Total $ 0.00
The cost includes two meals and the materials provided for attending the conference.
Important before registering

1. There will be no refunds for this conference.

2. By registering for this conference you agree to be filmed and/or photographed for future promotions.

3. The PayPal system is sensitive. If you already have a PayPal account you must pay through this account. Please make sure your name, address, and email match the billing information on the card you are using.
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2019 CO Indianapolis Senior Mobilization Conference