Workshop Sponsorship

: Registration for this event ended on January 15th, 2010 9:00 PM

Congratulations on deciding to host a workshop!

Have you submitted the necessary documentation to the CMP committee? If not, please do so after you complete this transaction.

If you are a SCRID or Affiliate Chapter member, the cost of each sponsored workshop is $25, upon membership verification. If you are not a member, the cost is $50 per sponsored workshop. This is non-refundable.

Contribution Amount *	$ 25.00 SCRID Member $ 50.00 Non-Member
	I will send payment by check
Email Address *

Please enter a user name to create an account . If you already have an account, please login before completing this form.

Username *	Check Availability Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.
Password
Confirm Password	Provide a password for the new account in both fields.

Contact Information

First Name *
Last Name *
Street Address (Primary) *
City (Primary) *
State (Primary) *
Postal Code (Primary) *
Country (Primary)