KDIAI 2008 Conference Registration Form

Name:           

Agency:         

Address:        

City:     State:      Zip: 

Work Phone:   

Email Address:

Hotel accommodations are not included in the registration fee.

Registration then cancellation before April 2, 2008, is a $10 penalty.

No refunds after April 2, 2008

Member - Registered before April 2, 2008 - $50 Member - Registering After April 2, 2008 - $65 Non-Member - Registering before April 2, 2008 - $65 Non-Member - Registering After April 2, 2008 - $80 Student - $20

Registrant will pay by:

Please bill my department

Will pay when I arrive

I will mail a check to: Karen Osborn, KBI, 1620 SW Tyler, Topeka, KS, 66612

I will follow the links on the main conference page and pay by credit card or Paypal

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