Residential Life Collegium

School Registration Form, KARH 2013

Name of Institution:

Campus Mailing Address:

Name of National Communication Coordinator: (NCC):

NCC Phone Number:

NCC Email:

Advisor Name:

Advisor Phone Number:

Advisor Email:

Additional Advisor Name:

Advisor Phone Number:

Advisor Email:

Total Number of Delegates (excluding alternates):

Banner Entry:

Display Entry:

Presenting a 2014 Conference bid:

Program of the Year (POY) entry:

Names of Alternates:

Delegate Registration Cost:
Price per delegate: $85 (early-bird)
Quantity:x$85=

Advisor Registration Cost:
Price per delegate: $117 (early-bird)
Quantity:x$85=

After we have received your school registration, you will receive all the necessary information for your financial office to be able to cut the check.

**If you have any questions, please contact the Registration Chair Charla Hamilton at karhregistration@berea.edu or the Registration Advisor Colleen Donathan at Colleen_Donathan@berea.edu **

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