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6-8 REGISTRATION FORM

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REGISTER NOW!
Conference scheduled for:
Saturday, March 31, 2007

Register by March 30, 2007, to ensure your spot at the 2007 EYH Conference. A $15.00 non-refundable fee is due at the time of registration. You may submit your registration form electronically and mail in your registration fee, or you can print the form and mail both the registration form and the fee to:

EYH Conference
Montana Tech Technical Outreach Office
1300 West Park
Butte, MT 59701

If there is room you may register and pay the $15.00 registration fee on the day of the conference however, the workshop selection will be pre-assigned.

First Name:
Last Name:
Home Address:
City:
State:
Zip:
School:
Grade
Gender
Workshop 1
Workshop 2
Workshop 3
Workshop 4

Please Verify Information Before Submitting

 

If you have any questions, please free to contact Annette Kankelborg or phone (406)496-4694.

 

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