CCPRO 2010 Virtual Conference, Friday, March 19, 2010
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1. REGISTRATION FORM
There is no fee for the 2010 CCPRO Virtual Conference; however, your registration must be received by March 5th to facilitate arrangements.
1
. Name:
Name:
2
. Title:
Title:
3
. Are you a new member to CCPRO?
Are you a new member to CCPRO?
Yes
No
4
. E-mail Address:
E-mail Address:
5
. College:
College:
6
. Phone:
Phone:
7
. Please select the conference location you will be attending:
Please select the conference location you will be attending:
Central Region - Davidson County Community College
Eastern Region - Pitt Community College
Western Region - A-B Tech Community College
8
. CCPRO will provide refreshments during the morning break and a full lunch for all attendees.
Please indicate whether you require a vegetarian lunch:
CCPRO will provide refreshments during the morning break and a full lunch for all attendees. Please indicate whether you require a vegetarian lunch:
Yes
No
9
. Do you have any dietary restrictions? If so, please explain.
Do you have any dietary restrictions? If so, please explain.
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