DEADLINE FOR REGISTRATION
February 5, 2010


Name: 

Name of Organization: 

Mailing Address:

Telephone: 

Fax: 

E-Mail: 

Additional Representative:
Name Email

Additional Representative:
Name Email


Early Bird fee                               $200*
Registration                                 $225
Additional Representative(s)    $25 each

* Early Bird Discount Deadline: December 18, 2009


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.