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WACTE Understanding & Dealing with Student Mental Health Issues in Higher Education Workshop Registration

Waukesha County Technical College

RTA Center

June 9, 2008

Online Registration Form


 

     First Name *   MI    Last Name *

 

     Employer *

 

     Employer's Address *

 

     City *   State *   Zip Code *

 

     Phone *   Ext.

 

     Email *

 

    

                                
Type of Registration*


$85 member

$105 non-member
Registration fee includes lunch, breaks and registration materials.

 

                                 
Method of Payment*

Choose One: 
Check   Purchase Order

Check# or PO# *

 

 

Accessibility/Special Needs: If you need disability-related accommodations or have special dietary requests while in attendance at the workshop, please identify below:

 

By submitting this form you are registering for the conference and agreeing to send payment as indicated above immediately. Online registrations will be treated the same as mail in and call in registrations.

 

Registration deadline is May 27, 2008.

Cancellations:  A $15.00 administrative fee will be charged for all cancellations. To request a refund before May 28, 2008, send a letter to:
WACTE
518 Potomac Lane
Madison WI  53719
NO REFUNDS WILL BE ISSUED AFTER MAY 28, 2008.

 

NOTE: All fields with an * following them must be filled in.