Event Registration - Ohio Conference of Community Development

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Event Name:

OCCD 2022 Hybrid Summer Annual Meeting

Event Date:

Wednesday, July 27, 2022 - 9:00am

Event Location:

6500 Doubletree Avenue
Columbus, OH 43229

Contact Information

This is who we will contact with event updates. Make sure they are also added in the "Attendee Information" section below if applicable.

Agency/Firm:

Address:

City:

State:

Zip:

Contact Name:

Contact Email:

Contact Phone:

Number of Attendees:

Attendee Information

First Name

Last Name

Registration Cost

Lunch Choice

Banquet Choice

Breakfast Buffet

Aux Aid

Attend Reception

Billing Information

How will you be paying for this event?

Enter the details below as they appear on your credit card statement.

Name on Card:

Credit Card Type:

Credit Card Number:

CVV:

Exp. Month:

Exp. Year:

Billing Address:

Billing Address 2: (Optional)

City:

State/Province:

Zip:

Country:

Total Amount:

OCCD
P.O. Box 776
Urbana, Ohio 43078

Phone: (937) 652-3523
Fax: 1-866-728-4581
Email: office@occd.org

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