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81st Annual Conference Registration
81st Annual Conference Registration
Westford Regency Inn & Conference Center
219 Littleton Road, Westford, MA 01887
April 4-5, 2012 (Wednesday-Thursday)
"BUZZ BOWL" Begins April 3rd, 2012 (Tuesday)
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip Code
Phone
*
Email
*
Employer
*
Day(s) Attending
Tuesday, April 3rd, 2012 (BUZZ BOWL Only)
Wednesday, April 4th, 2012
Thursday, April 5th, 2012
Registration Type
*
Student
X-Ray Challenge Coach
Technologist
Students And BUZZ BOWL Coaches MUST be MSRT members
If Student, College Representing
Pricing
Registration Type
1 Day
2 Day
Student
$65
$125
BUZZ BOWL Coach
$65
$125
Technologist (Member)
$120
$225
QCC Member
$92
$170
Non-Members
$190
$305
Prices include an on-line registration fee. Once you click the SUBMIT button, you will be taken to our Paypal page.
Product Name
*
Student One Day - $65
Student Two Day - $125
BUZZ BOWL Coach One Day - $65
BUZZ BOWL Coach Two Day - $125
Technologist (Member) - One Day - $120
Technologist (Member) - Two Day - $225
QCC Member - One Day - $92
QCC Member - Two Day - $170
Non-Members - One Day - $190
Non-Members - Two Day - 305