REGISTRATION
FORM
Name:_________________________________________________________________
Mailing
Address:_________________________________________________________
_______________________________________________________________________
Institution:______________________________________________________________
E-mail
address:__________________________________________________________
Please indicate session
choices:
I. 10:45 – 12:15
1.____ 2.____
3.____
II. 1:15 – 2:45
4.____
III. 3:00 – 4:30
5.____ 6.____
7.____ 8.____
Registration for ASCH, CSCHS, and Acorn Club
members $40.00______
Non-member
registration $45.00______
Student
registration $30.00______
Total enclosed: ______
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Registration Instructions - Please make checks payable to ASCH |