<%@ Import Namespace="System.Web.Mail" %> <%@ Page Language="vb" %> Bobby Dodd Institute - IDC 2008 Conference
 

Please complete the following form and submit it for registration to the 2008
Interfaith Disability Connection Conference:
That All May Worship-Beyond the Ramp.


Name:
Name to appear on name badge:
Address::
City:
State:
Zip Code
Phone Number
Cell Number
Congregation or Organization
Position Held:
Dietary Preference :

                                      Assistance  Preference:
Media Format Preference :
Would you like to be on the IDC mailing list? :
Please list multiple attendees here:

Make checks payable to Bobby Dodd Institute, Inc. Mail  to 2120 Marietta Blvd, Atlanta, GA 30318
Please note on check that payment is for 2008 IDC Conference. Click submit to complete your registration.
To pay by credit card proceed to PayPal by clicking submit.