Event Registration - Ohio Conference of Community Development

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Event Name:

OCCD Summer Annual Meeting and Diamond Jubilee

Event Date:

Wednesday, July 23, 2025-
Thursday, July 24, 2025

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

Lunch Choice

Banquet Choice

Closed Captioning

Attend Reception

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:

Please check the box

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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