1. Please complete and submit the following conference registration form.
2. First Name(*)
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3. Last Name(*)
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4. Title or Position(*)
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5. Office(*)
   Select OfficeFriend of the CourtOffice of Child SupportProsecuting Attorney OfficeState Disbursement UnitDIT-MiCSES ProjectSCAOOtherInvalid Input
6. County(*)
   Select CountyAlconaAlgerAlleganAlpenaAntrimArenacBaragaBarryBayBenzieBerrienBranchCalhounCassCharlevoixCheboyganChippewaClareClintonCrawfordDeltaDickinsonEatonEmmetGeneseeGladwinGogebicGrand TraverseGratiotHillsdaleHoughtonHuronInghamIoniaIoscoIronIsabellaJacksonKalamazooKalkaskaKentKeweenawLakeLapeerLeelanauLenaweeLivingstonLuceMackinacMacombManisteeMarquetteMasonMecostaMenomineeMidlandMissaukeeMonroeMontcalmMontmorencyMuskegonNewaygoOaklandOceanaOgemawOntonagonOsceolaOscodaOtsegoOttawaPresque IsleRoscommonSaginawSanilacSchoolcraftShiawasseeSt. ClairSt. JosephTuscolaVan BurenWashtenawWayneWexfordOtherInvalid Input
7. Postal Address(*)
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8. City(*)
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9. State(*)
   AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyomingInvalid Input
10. Zip Code(*)
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11. Phone Number(*)
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12. Email Address(*)
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13. Are you a participant?(*)
    NoYes

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14. Are you a Presenter
    NoYes

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15. Are you a Vendor
    NoYes

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16. Number of Participants(*)
    12345678910111213141516171819202122232425Invalid Input

*** Please be sure to answer all required fields before submitting the form as participant info will be cleared upon submission. ***

Participants

2. Total
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