Institution Registration Institution, $250.00 per individual per event If you are human, leave this field blank. School Referral School Referred Enter the name of a school that you have invited to register for the conference. When the school attends, you will receive $20. Institution Information Conference * Choose from the drop down Regions I, II & III Region IV Region V Region VI Region VII Region VIII, IX & X Select the Conference you are attending - See Details at right in the sidebar VAWA Training * Yes, Add VAWA Training No, Do not add VAWA “THE CLERY ACT”: Violence Against Women Act Annual Training Requirement $125.00 per person. Please select Yes to add this training or No to elect not to receive this training. Institution Name * Number of Attendees * Total Due Contact Information Address * City * State * Zip Code Phone Number * Email Address * Attendees Attendee 1 * Attendee 2 Attendee 3 Attendee 4 Attendee 5 Attendee 6 Attendee 7 Attendee 8 Attendee 9 Attendee 10 Special Event Select Payment Type There are 2 choices for payments Paypal: You may use a credit card here, even if you do not have a PayPal account Print and Mail - You will be able to print your form information, then mail with a check Payment Type * PayPal Check Please check your entries carefully. When you click on the 'Submit' button you will be taken to the selected Payment Type Page. You will not be able to make changes to the form after you click 'Submit' . As always, if you need help after submitting, please don't hesitate to contact us.