NCSHP - Hispanic Achievement Conference

North Carolina Society of Hispanic Professionals - Student Achievement Workshop
Registration Form

Workshop Registration Fee: $85.00
All paid fees are non-refundable.

PLEASE BE SURE TO FOLLOW DIRECTIONS BELOW CAREFULLY!

You can submit your registration form electronically (preferred) or by regular mail. Please be sure to click the SUBMIT button to ensure that you have been officially registered for the conference.

You have two payment options: 1) Pay online with Paypal or 2) Send check or money order to the address below.

If you would like to pay online with PayPal, complete and submit the form. You may also want to click “Print this Page” before submitting for your records. The confirmation page will have a link to complete the payment process.

If you would like to pay by check or money order:

Complete form online.
Click “Print this Page” at bottom before submitting.
Click “Submit” to ensure you have registered for the conference.
Send your payment and a copy of your registration to:
NC Society of Hispanic Professionals
8450 Chapel Hill Rd., Suite 209
Cary, North Carolina 27513

Visit us on the web at www.TheNCSHP.org
For more information about registration or questions, please call, send a fax or an e-mail to:
Phone: (919) 467-8424
Fax: (919) 469-1785
E-mail: mailbox@TheNCSHP.org

Your Details

First Name

Last Name

Title

Organization

Address 1

Address 2

City State ZIP

Telephone (W)

Telephone (H)

Fax

E-mail

I am attending the Student Achievement Workshop

I am interested in making a tax-deductible donation to the NC Hispanic College Fund - Please contact me

Additional Information

Comments:

Please print this form before submitting for your records or for mailing payments.

North Carolina Society of Hispanic Professionals - Student Achievement Workshop Registration Form

North Carolina Society of Hispanic Professionals - Student Achievement Workshop
Registration Form