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PERK Officers

  
Payment Options   PayPal, major credit card, check by mail
     
 Name (for badge)    
 First                                           Last                                         Title (faculty only)
College/University    
Mailing Address    
     
City    
State/Zip     /
Email    
     
FACULTY: Research Interests/Areas of Specialization  
     
Status   Faculty ($35)
 Student ($20)
Guest ($20) REGISTER GUESTS SEPARATELY
     
Luncheon   Luncheon
     
Need verification for CEU credits   Yes I need verification for state CEUs
     
Friday Night Reception   Yes I will attend (free)
     
    Select payment option after you submit.

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