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Virtual Annual Conference
Event Cancellation Form
Cancellation Policy:
Cancellations received via this form before October 7 will be refunded less a 10% processing fee. After that date no refunds are available, but replacement registrants are welcomed.
Attendee Info
First Name
*
Last Name
*
Position/Title
*
Email
*
School/Organization
*
Will you be sending a replacement registrant?
*
Yes
No
Replacement Registrant Info
First Name
*
Last Name
*
Email
*
Position/Title
*
Home Address
*
Home City
*
Home State
*
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
International
Home Zip
*
Additional Information
If you feel that your circumstances merit additional refund consideration, please explain below.