ACP - Conference Registration
conference information
Costs
$25 Individual
$75 Group of 5
Registration Fee
Individual $25.00 USD
Group of Five $75.00 USD
or
Mail checks to:
Robert Davis
OHD
PO Box 1327
Scottsbluff, NE 69363
Make checks payable to:
Association of Community Professionals
ACP Federal ID# 47-0634572
ACP confrence registration
Please fill out completely.
Organization
Mailing Address
City, State Zip
Phone Number
*One email address is needed for each screen used to access the conference. We recommend that no more than 3 participants share one screen during the conference. List the names and title of each person included in group rate.
E-mail Address
E-mail Addresses
Number of participants
Names of participants
Names of participants
Who Are You?
Self-Advocate
Advocate
Family Member
Direct Support Professional
Agency Supervisor/Manager
Agency CEO
Independent Provider
Other
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