Illinois Community College Board

Registration for Homeland Security Emergency Response Institute
Registration for Homeland Security Emergency Response Institute
When:	April 1-3, 2008
Where:	Doubletree Hotel, Bloomington, IL
Conference Fee:	$140.00 per person
Payment Information:	Make checks payable to: Lincoln Land Community College
Mail To:	Becky Sanders Illinois Community College Board 401 East Capitol Avenue Springfield, IL 62701-1711
Special Note:	Any check made payable to the Illinois Community College Board will be returned
Registration Deadline:	March 21, 2008 (Cancellations received after 3/21/08 will not be refunded.)

Registration Information
Please complete the following information below and press Submit. You will receive an email shortly with an invoice that should be printed and mailed with your check to the address above.
Participant Information:	(All fields are required)
Name:
College/Organization:
Title:
E-mail:
Phone:	Use format: XXX-XXX-XXXX
Address:
City:
State:
Zip:
Please indicate below the events you plan to attend (these functions are included in your registration fee):
Tuesday Pre-conference - All Hazard Emergency Planning for Colleges and Universities
Wednesday Lunch
Wednesday Reception
Thursday Breakfast
Special Needs:
Vegetarian Meals
Other special dietary needs:
Wheelchair Access
Specify other special needs:

Illinois Community College Board | 401 East Capitol Avenue | Springfield, IL 62701-1711
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