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24th Annual Alumni Conference


Speech, Language and Hearing Department
24th Annual Alumni Conference

 
Fill out form and press Send to register. You will be provided options for payment next (online by credit card or mail in a check). Please note that mandatory fields are required and must be filled in. If mandatory fields are not filled in, the form will not be accepted when submitted. If you have difficulties with the form, call Susan Hegel at 814-732-2192. Thank you!

(*) denotes required information.

* First Name:
* Last Name:
* Work Phone:
* Preferred Mailing Address:
* City:
* State/Country:
* Zip:
* Email:

*
 Presentation Options - Select One:

 I have impairment(s) that necessitates accommodations. Please contact me to discuss my specific needs.

*
 Form of payment:

NOTE: If you have a complimentary pass to attend the conference, please indicate payment by check, click submit, and then mail in your pass.

If paying by credit card, select your card of choice and then click submit to go to the payment page. Though it looks like you are making a "donation" you are paying for your conference registration. Look for the Designate my gift to: box, select Speech-Language Conference - $99. Enter $99.00 again in the Amount of Contribution box and you will be taken to a confirmation of payment page.

Many thanks to the University Advancement office for supporting on-line registration for this conference.