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GROUP REGISTRATION FORM

Each conference participant must complete a registration form. Registration includes meals, conference materials and special events. Open registration fees apply for all applications received by November 6, 2013. All applications received after this date will be considered for Late Registration. Those who miss this deadline must call (940) 898-3679 to make arrangements to attend. On-site registration is available if space permits. At this point, meals will be subject to availability.

Registration Fees:
Category Open Registration through 11/6/2013 On-Site Registration
TWU Students $ 10 $ 20
TWU Faculty and Staff $ 15 $ 25
Non-TWU Participant $ 30 $ 50

Method of Payment: Payment in advance is preferred and we offer three options for you to pay the fee: online with a credit/debit card, in person to the Office of Intercultural Services in Jones Hall 200 or mail checks payable to Texas Woman’s University: Attn: Michelle Buggs PO Box 425379 Denton, TX 76204-5349. Please contact Michelle Buggs directly at mbuggs@twu.edu if paying by IDT.  For additional information about your registration, please contact the Office of Intercultural Services at (940) 898-3679 or email intercultural@twu.edu. Visit our website at http://www.twu.edu/intercultural-services/conference.asp for more information about the Cultural Connections Leadership Conference.
Refund Policy: You will receive a refund (less 20% processing fee) if you cancel two weeks prior to the conference or earlier. After that time no refunds will be made, but substitution can be made. All refund requests must be submitted in writing no later than two weeks prior to the conference.

Group Registration(* required)
Group Name:*  
Contact Person (First Name):*  
Contact Person (Last Name):*  
Address, City, State, and Zip:*  
School or Organization:*   
Phone:*   
Email:*     
Member 1:
First Name:*  
Last Name:*  
Address, City, State, and Zip:*  
School or Organization:*   
Classification or Title:*   
Phone:*   
Email:*     
Emergency Contact:*   
Relationship:
Emergency Phone:*   
Have you previously attended the CCLC?:
Special dietary needs:
Special needs or accommodations:
Meals attending:
Would you be interested in participating in a community service opportunity on Saturday Nov. 9?
Category:*
 
Member 2:
First Name:*  
Last Name:*  
Address, City, State, and Zip:*  
School or Organization:*   
Classification or Title:*   
Phone:*   
Email:*     
Emergency Contact:*   
Relationship:
Emergency Phone:*   
Have you previously attended the CCLC?:
Special dietary needs:
Special needs or accommodations:
Meals attending:
Would you be interested in participating in a community service opportunity on Saturday Nov. 9?
Category:*
 
Total Fee:
$ 0

WE LOOK FORWARD TO MEETING YOU!