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Please use the form to register for the 2008 Shaping the Future Conference
Last Name*
First Name*
Credential
Job Title
Employer
Home Address
City
State
Zip
Home Phone
Email
Registration Fees
Shaping the Future
April 17, 2008 Preconference
April 17, 2008 Dinner with Speaker
April 18, 2008 Core Conference
Payment Information
Shaping the Future
Credit card information*
Credit Card Number*
Expiration Date*
Preconference Session Selections
April 17, 2008 (Please select one)
Core Conference Selections
April 18, 2008
10 – 11 a.m.
11:05 a.m. – 12:05 pm.
1:05 – 2:05 p.m.
2:20 – 3:20 p.m.
Submit
*Required