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Pre-TOT Registration, June 2022
Pre – TOT, June 2022
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Email
Rooming and accommodations
Travel Plans, Arriving date and time. Departing date and time. Car or Airport. Which airport and Flight # – arrival time.
Why do you need my travel plans? In some cases, we may be able to provide transportation but not guaranteed. Knowing your travel plans will help us coordinate transportation.
Name of your affiliate organization
Payment, standard double occupancy room
Pay Now ($500.00)
Pay Later ($500.00)
Payments are due at the beginning of training, payment options will be available on your confirmation email. Questions about payment contact Regina Lewis at 312-357-2639
Enter your payment information below.
Your card will be processed securely and immediately.
Address Line 2
State / Province / Region
ZIP / Postal Code