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Use This Form for Online Group Registration - Mail Chapter Check to SUAA
Chapter Contact Person: Complete Registrant Area if attending
SUAA Chapter
*
Contact Person
*
First Name
Last Name
Contact Email
*
Registrant #1
First Name
Last Name
Officer Title
Registrant #2
First Name
Last Name
Officer Title
Registrant #3
First Name
Last Name
Officer Title
Registrant #4
First Name
Last Name
Officer Title
Choose Registration Type
*
1 Registrant @ $60 each = $60.00
2 Registrants @ $60 each = $120.00
3 Registrants @ $60 each = $180.00
4 Registrants @ $60 each = $240.00
Click to Register Online & Mail Chapter Check to SUAA
Send Checks to: SUAA, 217 E. Monroe, Suite 100, Springfield, IL 62701 Attn: Fall Meeting
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2012 SUAA Fall Meeting Registration Form
