Commincation Summit Signup Form

Ohio Independent Colleges
Communicators Summit
January 5, 2012
Bridge of Learning
Ruff Memorial Learning Center
Capital University
Columbus, Ohio

Registration

To register complete the following information and click the "Submit Registration" button. A confirmation email will be sent to the Contact Email* address provided below.
The deadline for registration is December 28th, and no refunds will be available after that date.

Attendee Information

Name of Attendee:
Attendee Title or Position:
Institution / Affiliation :
Address:
Phone:
Fax:
*Email:

Additional Attendees: (Please list each attendee on separate lines with additional name, title and affiliation)

Registration Fees
Attendee	$50.00
Additional Registrants @ $50 each