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Conference Registration
Register for the 2008 Radical Organizing Conference
First name:
*
Last name (family name):
*
Phone:
Email:
Address
Street:
City:
State/Province:
Zip/Postal code:
Country:
Organization(s):
List any organizations that you are affiliated with and/or representing
Childcare
Indicate how many children will you place in conference childcare:
select...
0
1
2
3
4
5
6
7
8
9
Ages of children you will place in conference childcare:
Translation
Do you need translation?:
No
Yes
I need translation in _____ (indicate the language):
Note: Spanish translation will be provided. We will try to accommodate other needs where possible.