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I wish to register for the CSPI 2018 Annual Conference (Feb 11 & 12, 2018)

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* 1. I wish to register for the CSPI 2018 Annual Conference (Feb 11 & 12, 2018)

I also wish to renew my 2018 membership (or join) 

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* 2. I also wish to renew my 2018 membership (or join) 

Contact Information

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* 3. Contact Information

Contact Information for 2nd Member (if applicable and if know at this time)

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* 4. Contact Information for 2nd Member (if applicable and if know at this time)

Payment Options (check all that apply)

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* 5. Payment Options (check all that apply)

If you have any questions, please feel free to list here or contact Pam Fitzgerald at pam@cspionline.org or 570-871-0818. Thank you!

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* 6. If you have any questions, please feel free to list here or contact Pam Fitzgerald at pam@cspionline.org or 570-871-0818. Thank you!

If paying by credit card:

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* 7. If paying by credit card:

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