Conference Registration Form – Dance for World Community

Name *

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Last

Position Title *

Email *

Affiliated Organization (if any) *

Mobile Phone *

Home Address *

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Do you hold a leadership position in an organization or department of an organization?

Do you consider yourself an advocate/activist who supports the following causes:

Are you involved in any advocacy and/or activism projects in your local community?

Is there a particular advocacy/activism project that you would like to have us highlight at the conference?

How did you hear about the Conference? *

Promo Code

Conference Registration Fee *

Price: $215.00

Comp

Price: $0.00

Non-profit employee / Student Rate: NPS95

Price: $95.00

Friday Only

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