To register for the Fall 2010 workshop, please fill out the form below.
At the end of the form, click "submit") ---

Name:
Address:
City:
State:
Zip:
Work Phone:
Email:
Choose a category from the list:
	Member $200.00 Non-member & Become a member $240.00 Full Time Student (includes member dues) $50.00 Non-member $250.00
Please enter a donation amount to the CGPS Scholarship Fund:
	(please do not include $ sign or decimal point - e.g., 123 = $123.00 )
If you would like to attend but need scholarship, please contact Elizabeth Jackson at 919-286-3453 ext 109.