13th Annual Community Partners Conference Registration

1. Registration

20%

Thank you for your interest in the 13th Annual Community Partners Conference: "Planning for Our Future, Reaching Our Goals."

To register for the 13th Annual Community Partners Conference, please complete the following:

Contact Information
Note: * Denotes a required field. If a field is not applicable to you, please input: N/A.

Contact Information Note: * Denotes a required field. If a field is not applicable to you, please input: N/A. Full Name
Title
Organization
Address
City
State
Zip
Phone
E-mail

Please list any dietary restrictions.

What is your ethnicity? (Optional)

Is this your first time attending the Community Partners Conference?

Is this your first time attending the Community Partners Conference? Yes

The fee to attend this conference is $75.00. Please check off your preferred payment method. To ensure registration, checks must be received by August 22nd.

The fee to attend this conference is $75.00. Please check off your preferred payment method. To ensure registration, checks must be received by August 22nd. I will mail in a check (please make payable to the Asian American Justice Center).

I prefer to pay by credit card (please contact Lisa Thornton at (202) 296-2300 x118 to complete this transaction).

Waived. I am a speaker/student/AAJC affiliate staff.

A limited number of partial travel stipends ($400 maximum) are available for out-of-town participants. Are you interested in applying for a travel stipend?

A limited number of partial travel stipends ($400 maximum) are available for out-of-town participants. Are you interested in applying for a travel stipend? Yes