Event Registration - Ohio Conference of Community Development

Contact Us

Event Name:

Income Determination - Gig Income & Techy Issues

Event Date:

Thursday, September 19, 2024 - 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

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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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