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Power of One

Registration


Power of One Registration

Your IP address: '38.107.191.85' will be recorded when this form is submitted. Misuse of this WSU service may result in prosecution.
Washington State University
Gender Identity/Expression and Sexual Orientation Resource Center (GIESORC)
PO Box 647204, CUB 401
Pullman, WA  99164-7204
(p) 509-335-8841 (f) 509-335-4168
Please fill out the following to register for the Power of One conference.  Groups of 10 or more will receive a 25% discount.  Registration has to be done all at the same time.
Name Preferred Name
Address City
State Zip
Work Phone Fax
E-Mail Institution
  T-shirt Size  
Registration Categories (check one)
Student Non-student
Faculty/Staff
Needs and Accommodations 
Food allergies or dietary restrictions
Vegetarian
Vegan
Wheelchair access
Travel with service animal
Need ASL interpreter
Optional Information (For Internal Use Only)
American Indian/Alaska Native Caucasian (Not of Spanish Origin)
Black Hispanic/Latino/Spanish
Native American/Pacific Islander Asian
Other

Gay Lesbian
Bisexual Transgender
Two Spirit Straight Ally
Intersex Queer
Conference Activities
Please indicate which sessions you anticipate attending so that we can best prepare the venue for each.
Friday Movie (Friday, 7 PM)

Saturday Keynote Speaker (Saturday, 9 AM)

Saturday morning workshop sessions (Saturday, 10:30 AM to 11:45 AM)
Saturday afternoon workshop sessions (Saturday, 1 PM to 5:30 PM)
Saturday Dinner (Saturday, 5:30 PM)
Advisor's Social (Saturday, 7 PM)
The Prom You Never Had (Saturday, 8 PM)
Sunday morning workshop sessions (Sunday, 9:30 AM)
Closing Plenary (Sunday, 11:00 AM)
Registration Fees

   Early Registration – Before December 4, 2009 - $150.00

   Regular Registration – December 5 through January 29, 2010- $175.00
   Late Registration – March 16 through April 24, 2010- $200.00
   Vendor - $100.00 for both days (Includes a table and two chairs.)

Payment (Make checks payable to Washington State University.)

Check
Money Order
Purchase Order

Please mail payment to:
Washington State University
Gender Identity/Expression and Sexual Orientation Resource Center (GIESORC)
PO Box 647204, CUB 401
Pullman, WA  99164-7204
(p) 509-335-8841 (f) 509-335-4168







Please type the letters below to submit the form:


 

Gender Identity/Expression and Sexual Orientation Resource Center, PO Box 647204, CUB 401,
Washington State University, Pullman WA 99164-7204, 509-335-6388, Contact Us