Registration

09/06/2008

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Protecting Your PC from the Internet Seminar
Online Registration Form

Fields in RED are required

Registrant Information

Title:   First Name:   MI:
Last Name:

Street:

City: State:   Zip:   Country:

Phone Number: E-mail:

Registration

Registration Type:

Amount:

Amounts will be updated when you tab to the next field.
Total Amount:


An additional $1 will be added to each event after Dec. 21. ($5 will be added to the New Year's Ball.)
Friday Night Dance	$11.00	Amount:
Saturday Breakfast	$10.00	Amount
Saturday Lunch	$20.00	Amount
Saturday Dinner Banquet	$30.00	Amount:
Saturday Night Dance	$11.00	Amount
Sunday Breakfast	$10.00	Amount:
Sunday Lunch	$20.00	Amount
Sunday Dinner Banquet	$30.00	Amount
Monday Breakfast	$10.00	Amount:
Tour of National Monuments	$16.00	Amount
Monday Dinner Banquet	$30.00	Amount
New Year's Eve Ball	$25.00	Amount

Demographic Information

Gender:		Stake:
Age Group:		Ward/Branch:
I am interested in helping with the conference:		What events would you like to see at next year's conference?

Hotel Arrangements

This information will be used to help find you a roommate at the Hyatt, if you select that you want one.

Arrival Date (mm/dd/yyyy):

Departure Date (mm/dd/yyyy): I am interested in sharing a room with other people

I would like to share a room with the following number of people:

I would like to share a room with the following people:

Roommate 1 Roommate 3

Roommate 2