Registration Deadline: October 15, 2008
Program Date: October 29, 2008

There is a quick four-step process to register for this program:

1. After filling out the information below, you are taken to a Verisign secure sever site where you fill in the credit card information. You will not be required to provide a credit card number until you hit submit on this page and are taken to the secure site.

2. After completing this form you should receive a pop up screen notifying you that the process is complete.

3. You should receive an email confirmation. If you do not receive an email confirmation please contact Stacey Wilson, 614.224.1344..

4. After your transaction is approved you must click the "Click Here to Complete Transaction" button.

Select a donation amount from the list below:
$40.00   

* Denotes required field.
Address & Optional Fields
Name:
First Name* M.I. Last Name*
Street:*
City:*
State:*     Zip:*
Phone:* – –
Email Address:*

*Organization
*Title
Do you have any special needs (dietary, disability, other)?
37 West Broad Street, Suite 800 • Columbus, Ohio 43215-4198 • 614-224-1344