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Southern Consortium of University Public Service Organizations 2012 Annual Conference

Beau Rivage Resort and Casino
April 2-4, 2012
Biloxi, Mississippi

 


Step One: Your Information
Fill out the information below then proceed to Step Two: Process Your Payment.


First Name*
Last Name*
Name Preferred
on Badge*

Title:
Center/Division :
Institution:*

Mailing Address:*
City:* State:* Zip:* -
Phone*
 ( - 		FAX
( ) - 		E-Mail*
Web Site Address:
Guest/Spouse Name†
Meal Functions and Preferences Attendee Spouse/Guest
I would like vegetarian meals only* Yes      No
Yes   No
N/A
I will attend the Director's Dinner on April 2nd. * Yes       
My guest/spouse will attend the Dinner on April 3rd. * Yes      No
Registraton Fees

Amount

Registration $180
Director's Dinner (April 2nd) $40
Guest/Spouse Dinner (April 3rd) $40
$20
$20
 
Credit Card
Check
Cancellation/Refund/Substitution Policy: Refunds requested in writing by March 16, 2012, will be processed less a $35 cancellation fee. Refunds cannot be made after March 16, 2012, however substitutions may be made at any time.

*Fields must be filled out.

CLICK BELOW TO PROCESS PART ONE OF YOUR REGISTRATION.
NOTE: All payment information will be collected on Virtual Merchant's Secure Site.

 

BEFORE PROCEEDING, PLEASE READ THESE IMPORTANT DETAILS ABOUT PROCESSING YOUR REGISTRATION
Within a few minutes to a few hours you should receive an email containing all the information you filled out on this page.

If you do not receive this email your registration has not processed properly. Please contact Connie Hansen immediately.

Privacy Policy: We collect data that you volunteer when filling out our on-line registration forms and online publication order forms. The purpose of this data is to facilitate planning of meetings and for mailing important information concerning meetings or for processing publication orders. Your information is saved locally and will not be collected in any database on southern.org or our other sites. Your name and information will never be sold, shared, or traded to any other organization for any reason. For our complete privacy policy go to https://www.southerngrowth.com/about/privacypolicy.html.

Questions about the Conference or your Registration? Contact Linda Hoke, Southern Growth Policies Board. 

 
Find us on:





Southern Growth Policies Board, P.O. Box 12293, Research Triangle Park, NC 27709
Phone: (919) 941-5145, Fax: (919) 941-5594, Email: info@southern.org