DEADLINE FOR REGISTRATION
September 30, 2009


Name: 

Name of Organization: 

Mailing Address:

Telephone: 

Fax: 

E-Mail: 

Additional Representative:
Name Email

Additional Representative:
Name Email

Registration                                 $90.00
Additional Representative(s)    $25 each

Please make check payable to:

South Carolina State University
Career Center Foundation
SCSU Tax ID: 57-6000950

No refunds will be given; however, substitutions can be made at anytime.

No refunds will be given; however, substitutions can be made at anytime.