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Oregon Association of Rehabilitation Professionals

 A chapter of the International Association of Rehabilitation Professionals

_ Registration

Fall Conference

Attendee Registration Form

Friday l October 17, 2008
Holiday Inn, Wilsonville, Oregon

25425 SW 95th Avenue (I-5 at Exit 286)
 

Registration fee includes breakfast, lunch, break refreshments, and participation in seminars.

Registration Fees

By
September 30
After
September 30
OARP Member $105.00 $155.00
Non-Member $140.00 $190.00
     
Graduate Student* $55.00  
     

* To qualify for the Graduate Student rate, you must already have a bachelors degree and be currently enrolled in a graduate studies program at an accredited university.
 

To Register Online, Complete

& Submit This Form

Company Name:
(School name if registering
as grad student)

 Student ID:  (if registering as grad student)
Street Address:
City
State
ZIP
Registrant First Name:
Registrant Last Name:
Contact Email:
Contact Phone:
Contact Fax:
Additional - Registrant 2 Name:
Additional - Registrant 3 Name:
Additional - Registrant 4 Name:
Additional - Registrant 5 Name:
Add up and enter total fees:
Select Payment Method:

Send Invoice to:

Bill To Contact Name

Bill To Company Name

Bill To Street Address

Billing City

Billing State

Billing Zip

Special instructions / Comments /
Disability Accommodations?

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