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Crime Victims’ Conference of East Texas

 Registration Form


Registration fee is $25.00 per person.  Registration includes workshops and more.

Registration fee of $25.00 must be paid prior to the conference or no admittance and no refunds.
Please register by September 22, 2017. Any registration after September 22, 2017 will not be guaranteed all conference materials. Please make check payable to: Mark W. Hall - Go Blue Account. In the memo please note: Crime Victim Conference.


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Agency/Organization:
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Name
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Email Address
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Phone Number
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Address
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T-Shirt Size
T-Shirt Size

Once you have submitted the registration form, you should receive a confirmation email from a conference coordinator.  That email will advise you on where to send your registration fee.


RETURN COMPLETED REGISTRATION FORM AND REGISTRATION FEE TO:
Crime Victims' Conference of East Texas
Attn: Diane Russ
100 E. Tyler Street, Room 100
Athens, Texas 75751
Phone: 903-675-6112

Email: druss@henderson-county.com

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