Name

Title

Organization

Address

City/State/Zip

County

Email (required)

Phone

I prefer to attend the following breakout sessions:

Note: Seating is limited. Preference will be given on a first-come basis.

 

Breakout Session 1 (please select one):

1A:
1B:
1C:

Breakout Session 2 (please select one):

2A:
2B:
2C:

Are you a member of AFP?

Yes
No

Costs:

AFP Members/Group of 4 or more: $75
Non-Members: $120
Sponsors: $75 per additional attendee

Total you will pay for this CSI reservation:

$

Be the Cause Contribution:

$
Everyone who contributes to the BE the CAUSE campaign by noon on April 13th will be entered into a drawing to receive gift baskets and other nice door prizes.

Total payment

$

Who told you about CSI?
(e.g., person or chapter)

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By clicking below, you confirm that you understand that if you make a reservation, you are responsible for the fee even if you do not attend. Cancellations must be received by the posted reservation deadline to be eligible for a refund or non-payment.

Ten Star Gold ChapterFriends of Diversity Award

AFP Northeast Ohio Chapter | © 2015-2017 AFPNEO. All rights reserved.

Kristie Woods, President | kwoods@stllc.org
PO Box 1286, Bath OH 44210 | 330-329-2472 | Fax 330-315-0399 | info@AFPNEO.org

Designed & hosted by Jacq Connect

 

 

 

Ten Star Gold Chapter

 

Friends of Diversity Award

AFP Northeast Ohio Chapter | © 2015-2017 AFPNEO. All rights reserved.Kristie Woods, President | kwoods@stllc.org
PO Box 1286, Bath OH 44210 | 330-329-2472 | Fax 330-315-0399 | info@AFPNEO.orgDesigned & hosted by Jacq Connect