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Rural Community College Alliance presents: Building
Institutional Capacity |
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CONFERENCE
REGISTRATION FORM |
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RCCA
Member
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Non RCCA
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Early
Bird registration, $120 per person Payment must be received before Sept. 7 |
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Early
Bird registration, $150 per
person Payment must be received before Sept. 7 |
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Regular
registration, $140 per person Payment received after Sept. 7 |
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Regular
registration, $175 per person Payment received after Sept. 7 |
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Group
registration, $100 per person when three or more from same college/community
attend. Please indicate number attending: ______________________________ |
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Group
registration, $125 per person when three or more from same college/community
attend. Please indicate number attending: ______________________________ |
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Post-Conference Study Tour of Tupelo, Miss., $200 per person |
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Post-Conference Study Tour of Tupelo, Miss., $200 per person |
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For details about
RCCA membership, click
here.
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| REGISTER
BY FAX Print the registration form, complete it, include purchase order and fax to Bonnie P. Teater at (662) 325-8915. REGISTER BY MAIL Print the registration form, complete it and return it with a check, money order or purchase order. Make checks payable to Southern Rural Development Center (Federal ID # 64-6000819). Mail to: Southern Rural Development Center, Box 9656, Mississippi State, MS 39762. Name:______________________________________________________________________________ Title:_______________________________________________________________________________ Organization:_________________________________________________________________________ Address:_____________________________________________________________________________ City/State/Zip:_________________________________________________________________________ Phone:____________________________________________________________________________ Fax:_________________________________________________________________________________ E-mail:_______________________________________________________________________________ |
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