Ashland Community & Technical College

Registration Form

Name

Salutation:
First Name:
Last Name:
Position/Title:

Contact Information

Telephone:
Email:

Institution Information

Name:
Street:
continued
City:
State:
Zip:

Registration Type: Full Conference Student

Fees:

Full conference: $99 Student: $10

The registration fee of $99 includes program materials, continental breakfast, lunch and refreshment breaks.

DEADLINE for registration is October 1st. No refunds will be granted for cancellations after October 10th.

Please mail registration fee to:

Ashland Community & Technical College
ATTN: Kim Minnehan
1400 College Drive
Ashland, KY 41101

Checks should be made payable to CTCFA (Community & Technical College Foundation of Ashland, Inc.)

For more information regarding registration or to pay by phone using a credit card, please call Kim Minnehan at 606-326-2071.

Ashland Community & Technical College, 1400 College Dr, Ashland, KY 41101-3617
Phone (606)-326-2000 | Toll-Free (800)-928-4256
© 2008 KCTCS, Kentucky Community and Technical College System. All Rights Reserved