Conference Registration Form
A Cultural Systems Approach to Project Planning, Implementation, and Evaluation
A 1-Day Community Based Participatory Research (CBPR) Workshop
Monday, November 5, 2012
8:30 am- 4pm
The Radisson Plaza Lord Baltimore
20 West Baltimore Street, Baltimore Maryland 21201
Registration covers: (1) Participation in all Workshop Sessions; (2) A Workshop Manual; (3) Continental Breakfast; and (4) Lunch.
Registrant Organizational/Professional Affiliation:
Types of Registration
Individual, non-student registration- $90 ($100 at the door)
Student Registration- $50 ($60 at the door)
Organizational (Pre-Conference Only) $500 or more , which includes event co-sponsorship recognition on the program, and sponsorship of 3 individuals
Payment Option: Check
Please make checks payable to University of Maryland College Park Foundation with CuSAG Student Support Fund in the memo.Please mail checks to University of MD College Park Foundation 4511 Knox Rd Suite 205 College Park, MD 20740
Payment Option: Online Payment
To pay, please go to the website linked below and make a donation to the CuSAG Student Support Fund in the amount of the selected workshop option. Once payment is completed, please include the order id # below.
Online Payment Website
Online Payment Instructions
After going to the link above, select "The Campaign" and enter "CuSAG" in the search box at the left.
Order ID Payment Confirmation OR Check Number
Do Not Fill This Out