SOCIAL MEDIA EVENT - "MARKETING THE MISSION"
Registration Form
Friday, November 6, 2009 - Salem, Oregon

First Name:

*

Last Name:

*

Nickname:

Title:

Company:

Preferred Address:

*

City:

*

State:

*

Zip:

*

Phone :

*

Fax:

Email:

*

Fee: Regular Registration ($125)
Salem Young Professional Member ($75)
Willamette Student ($25)

 

Please Give some background on your interests and expectations in the Social Media event:
 
 

Payment:

I will pay by: