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FACCC Workshops - Online Registration

You may also print and mail this form to: FACCC EI, 1823 11th Street, Sacramento, CA 95811 - or fax to (916) 447-0726.
For questions or to register by phone, please call Janet Oropeza, (916) 447-8555.

First Name		Phone
Last Name		City
Address		State
College		Zip
Discipline		E-mail
	How did you hear about this event?
	2008 Writers' Retreat Marriott Desert Springs Hotel	Jul 11-12	$25.00 - FACCC Member $45.00 - Non-Member Lunch Included
	FACCC Member		I would like to join FACCC today
	Online Payment:		Special needs:
	VISA		Vegetarian Meals
	Mastercard		Wheelchair Access
Card #	- - - exp. Cardholder Name:	Total Amt Due:
	Please wait for a verification message that your registration was sent.		You should receive verification of registration by e-mail within three (3) business days. If you do not hear from us, please call (916) 447-8555.