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2015 OPID Spring Conference Registration

April 16 - 17, 2015 at the Heidel House, Green Lake, WI

First Name *
Last Name *
Title (Associated Professor, etc)
Institutional Affilation *
Address (line 1) *
Address (line 2)
City *
State *
Zip Code *
Email *
Home Phone
Day/Cell Phone *
Are you a conference presenter? *
Dietary restrictions Vegetarian
Gluten Free
I need accessibility accommodations
If yes, please describe
Registration type Standard Registration $15
2014/15 Teaching Fellows Registration ($0)
***Reminder*** Hotel reservations are made directly by the registrant. A block of rooms at a state rate will be available until March 26. Conference hotel information is available here: here

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