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2012 ANNUAL CONFERENCE
REGISTRATION

 
  
 
 
 
 
 

 
 
  ISCA W-9 Tax Form  

Apr 13, 2012 Springfield
Conference

(6 CPDUs)

Northfield Inn, Suites & Conference Center
3280 Northfield Drive
Springfield, IL 62702

You can join NOW for an additional $95 and select the member rate.
JOIN
Conference Registration -Springfield Before 3/13/12
Registrant Name if Different
School Name
     
Apr 20, 2012 Skokie, IL
Conference

(6 CPDUS)

Skokie Double Tree
9599 Skokie Blvd.
Skokie, IL 60077

You can join NOW for an additional $95 and select the member rate.
JOIN
Conference Registration -Skokie Before 3/13/12
Registrant Name if Different
School Name
After March 13, 2012 Prices  

Members:$125                                    Retired Members/
Grad Students: $75
Presenters: $50                          Non/Members: $150

     
     
On Site Prices   Members:$135                                    Retired Members/
Grad Students: $100
Presenters: $50                          Non/Members: $165

ISCA Miscellaneous Payments

 

 

 

 

Choose an amount and fill in what it is for and registrant name

 

 

Additional Payment
Registrant Name if Different
School Name
 
Exhibitor Registration Skokie/Springfield Exhibitor Registration Form