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  Registration Form    
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About PERK
Conference_Info
Registration
Submission
PERK Officers

 
Payment Options  

major credit card

Please send checks to:

PERK: Care of Robyn Long

1200 Commercial Dr.

Campus Box 4031

Emporia, KS 66801

     
 Name (for badge)    
 First                                           Last                                         Title (faculty only)
College/University    
Mailing Address    
     
City    
State/Zip     /
Email    
     
FACULTY: Research Interests/Areas of Specialization  
     
Status   Faculty ($35)
Student ($20)
Guest ($20) REGISTER GUESTS SEPARATELY
     
Luncheon   Luncheon ($12)
     
Friday Night Reception   Yes I will attend (free)
     
    After you click SUBMIT, please follow the link to return to this form and click HERE to continue to paypal to complete your registration.

     Problems with form? email Cathy Grover: cgrover@emporia.edu