National McNair Research Conference and Graduate Fair

26th Annual Conference - Registration

Educational Opportunity Association (EOA)

 

REGISTRATION

for Graduate School Fair Representatives

All fields marked with ** are required to Register On-Line
Upon successful registration you will receive an email with your Access ID and Password
A second representative can be added for $50, information about the second rep can be added now or at anytime by logging in and editing your information.

School/Company Information
First Name**
Last Name**
School/Company Name**
Title**
E-Mail Address**
Retype E-Mail Address**
Street**
Street Line Two (NOT Required)
City**
State**
Zip Code**
**Phone (include area code) aaa-bbb-cccc
Fax (include area code) aaa-bbb-cccc

School/Company Profile**

Would you like to place a full page ad in the conference booklet? Print Ready Ad Copy needs to be sent to Nancy Harrison: harrison@uwosh.edu.

  • Yes, a full page ad in conference booklet (add $150 to registration)
  • No, I will not be placing an ad in the conference booklet



I will only be registering for the Grad School/Exhibitor Fair
($400 Friday Dinner and Materials included, Lodging NOT included)

  • Fair Only - No Room and No Saturday/Sunday Meals (add $0)  

I will attend the Dinner on Friday, October 20, 2017

  • Yes  No  

Shirt Size
TBD    Small    Medium    Large    X-Large    2X-Large    3X-Large    4x-Large   

Special Dietary Needs

Other Accommodations Needed



I would like to register for the entire conference
The base registration for attending the Fair, Friday Dinner and Materials is $400,
Lodging and full attendance is extra (see additional costs below)
  • Single Occupancy Friday + Saturday Meals (add $300)  
  • Single Occupancy Both Nights + All Meals (add $575)  

I will attend the following meals:

  • Yes    No    October 20 - Dinner
  • Yes    No    October 21 - Breakfast
  • Yes    No    October 21 - Lunch
  • Yes    No    October 21 - Dinner
  • Yes    No    October 22 - Brunch



I would like to register a second representative now
Yes    No

First Name
Last Name
Title
E-Mail Address
  • Double Occupancy Friday with other Rep(s) + Saturday Meals (add $475)  
  • Double Occupancy Both Nights with other Rep(s) + All Meals (add $750)  

The second representative will attend the following meals:

  • Yes    No    October 20 - Dinner
  • Yes    No    October 21 - Breakfast
  • Yes    No    October 21 - Lunch
  • Yes    No    October 21 - Dinner
  • Yes    No    October 22 - Brunch

Shirt Size
TBD    Small    Medium    Large    X-Large    2X-Large    3X-Large    4x-Large   

Special Dietary Needs for second representative

Other Accommodations Needed for second representative



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