25th Annual IDAC Fall Symposium
Airport Marriott Hotel
Long Beach, CA
Saturday, October 9, 2010
2010 IDAC NON-MEMBER REGISTRATION
Registration for 2010 Non-Members is $60
Pre-Registration Deadline is October 1, 2010
Name:
Degrees:
Mailing Address:
Telephone:
Fax:
Email:
Do You Wish to Attend the I.D. Fellows Mentoring Session?
Yes
No
CREDIT CARD PAYMENT INFORMATION
$60 Non-Member Registration Fee
Exp.
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Need Hotel Reservations? ($129+tax per night)
Which Nights?
Fri., Oct. 8
Sat., Oct. 9
Sun., Oct. 10
Hotel Room will be Guaranteed to Credit Card Number Above
Press "Send" to submit
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