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PSE Fall Regional Conference Registration

Please complete the following form to register for the following regional conferences: Western, North East, Atlantic and Midwest. Click on the button for your regional to see a schedule of events.

If you are having problems registering, please call the PSE Headquarters office, 800-761-9350.

REGISTRATION INFORMATION*

First Name:
Last Name:
School:
Company:
Address:
City:
State:
Zip:
Phone:
Email:

REGISTRATION FEE:

Oct. 12-14, 2007 - Southern Regional Conference - Baton Rouge, LA - $45 Registration Fee
Oct. 19-21, 2007 - Atlantic Regional Conference - Greensboro, NC - $60 Registration Fee
Oct. 26-28, 2007 - North Central Regional Conference - Toledo, OH - $45 Registration Fee
Nov. 2-4, 2007 - Midwest Regional Conference - Carbondale, IL - $50 Registration Fee
Nov. 9-11, 2007 - Western Regional Conference - San Diego, CA - $68 Registration Fee
Nov. 16-18, 2007 - North East Regional Conference - Hartford, CT - $66 Registration Fee
Requests for refunds must be in writing and are subject to a $10 cancellation fee.
No refunds given if cancellation is given with in 72 hours. At that time meal counts have already been given and that is what registration fee pays.

SPECIAL REQUESTS:

Vegetarian Meals: Yes    No
I would like to compete in the Pro-Am Sell-A-Thon You do need to register online to participate
Yes, I would like to compete in the National Speakers Competition
Title of Speech
I am planning to attend the Certified Chapter Officer Program
Position to be trained
   

PAYMENT INFORMATION:*

Payment will be mailed with
Chapter Check

Name on Card
Credit Card: Visa Mastercard American Express
Credit Card Number:
Card Expiration:
Billing Address:
City:
State:
Zip:
Billing Phone:
You will have one final chance to review your order before submitting.

Pi Sigma Epsilon, 3747 S. Howell Ave. Milwaukee, WI 53207
Phone: (414) 328-1952, Toll-Free: (800) 761-9350, Fax: (414) 328-1953, E-mail: pse@pse.org

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