Event Registration - Ohio Conference of Community Development

Contact Us

Event Name:

Income Determination

Event Date:

Thursday, June 22, 2023 - 9:00am

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:

First Name

Last Name

Registration Cost

Aux Aid

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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