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CSASC 2007 Convention Online Registration

Convention Details

First name:
Last name:
E-mail:
Phone:
  1. Yes, I will be attending the CSA convention at afternoon section on 11/10 with: guests
  2. I will attend the Evening Banquet, and my affilication with CSA is:
    Please reserve: seats for me for the banquet on 11/10/2007 (Confirmation will be e-mailed to you).
    I understand that my contribution to CSA is tax-deductible and is voluntary. I would like to contribute/pay the following amount ( $25 per banquet ticket for CSA member covering membership fee, $50 per banquet ticket for non-member, $100 to support CSA, $200 or more as patron): dollars

  • If your have any questions, please contact us at drkmchan@gmail.com