25th Annual IDAC Fall Symposium
Airport Marriott Hotel
Long Beach, CA
Saturday, October 9, 2010
2010 IDAC MEMBER'S REGISTRATION
Pre-Registration for 2010 Paid IDAC Members is Free
Pre-Registration Deadline is October 1, 2010
On-Site Registration is $20
Name:
Degrees:
Mailing Address:
Telephone:
Fax:
Email:
Do You Wish to Attend the I.D. Fellows Mentoring Session?
Yes
No
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Hotel Reservations ($129+tax per night)
Fri., Oct. 8
Sat., Oct. 9
Sun., Oct. 10
Card Credit Number to Guarantee Hotel Room
Exp.
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