2008 National Summit on American Competitiveness

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Registration Form

Registration For Students Is FULL!!

Thank you for taking the time to register. The fee to register for the conference is $150.00 . The fee for Students with a valid Student ID is $25.00 . (Students can participate in the Summit but will be required to provide for their own lunch.) Fill out the form below, then click submit. Once you have been taken to the pay section, please follow through the process until you have completed the pay section. Not completing the pay section will result in you not registering for the conference. Please fill out the required fields.

Name and Organization * First Name Last Name Title Organization
Please enter your name - Required
Office Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Please enter office information - Optional
Office Phone - (###) - ### x #### #####
Please enter office phone number - Required
Fax Phone - (###) - ### x #### ####
Optional
Email *

Active email address - required

Required