Expo Registration

Mid-Michigan Safety Council

Mid Michigan Community College is a Sponsor of the Mid Michigan Safety Council

2009 Safety Expo Registration & Payment

Step#1: Complete the following registration information below for all persons that will be attending from your company.

Step#2: Calculate the total cost of registration fees and enter the amount below.

Step#3: Submit the registration information by clicking the link below.

Step#4: Make a PayPal credit card payment for the amount due by clicking the payment link below.

When: Wednesday, August 12, 2009 8:30am - 4:30pm

Where: Mid-Michigan Community College Campus, Harrison, MI

Cost: $35 Per Person ($30 per person if received before July 31, 2009)

Company Information:

Company
Address
Telephone
FAX

Registration Contact Information:

Name
Title
E-mail

Attendee Registration List: (List the names of all persons registering and attending)

Number of Person(s) Registering & Attending:

Amount of Total Payment: (Remember and enter this amount in PayPal)

Click "Submit Registration" when you have completed your registration.

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<input type="hidden" name="hosted_button_id" value="7153947">
<input type="image" src="https://www.paypal.com/en_US/i/btn/btn_paynowCC_LG.gif" border="0" name="submit" alt="PayPal - The safer, easier way to pay online!">
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</form>

After successfully submitting your registration, you will return to this page to make a PayPal payment below if paying by credit card only.

Next Step:

Create a FREE PayPal account (or use your existing account) to make your registration payment.

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<input type="hidden" name="cmd" value="_s-xclick">
<input type="hidden" name="hosted_button_id" value="7153947">
<input type="image" src="https://www.paypal.com/en_US/i/btn/btn_paynowCC_LG.gif" border="0" name="submit" alt="PayPal - The safer, easier way to pay online!">
<img alt="" border="0" src="https://www.paypal.com/en_US/i/scr/pixel.gif" width="1" height="1">
</form>

Thank you for your registration and payment. See you at the Expo!

The above identified company or persons registered will be responsible for payment of necessary and applicable fees based on registration information and attendance. Not all fees collected may be reimbursable without prior cancellation notification by attendee. For questions please call 989-386-6687.

Mid-Michigan Safety Council

1375 S. Clare Ave

Harrison, MI 48625

www.mid-michigansafetycouncil.org

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Last modified: 06/29/10