2012 Conference Registration Submission

  • 2012 Southwestern Regional Conference Registration Form

    Once you submit your registration information in the online system, your information is transmitted to Regional Grammateus, Dr. Alice Cryer-Sumler. When she receives your information, it will then be processed through the Region's payment system. Once this occurs, you will receive a receipt in the mail recording your transaction and reflecting the amount of the online submission. Should you have any questions regarding on-line registration submission, please send an e-mail to: sgrhosw.epi@gmail.com. Thanks!

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    Please select a registration packet.

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    Additional Tickets: If you wish to purchase additional tickets, first please choose the event you would like to purchase tickets for. Then, select the number of tickets you would like to purchase for that event.

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    To assist us in providing accurate food information, please list any dietary needs (i.e diabetic, no pork, no fish/seafood, vegetarian only, etc.).

    Payment Information

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    Grand Total
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