COSD 12th Annual National Conference
Final Registration Deadline is Wednesday October 26, 2011
Please enter your information below to register

All fields marked with ** are required.

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Personal Information
E-Mail Address: **
First Name: **
Last Name: **
Preferred Name for Name Tag:
Title: **
Name of Organization: **
Address: **
City/State : **
    
Phone Number: **
 
Will you be staying at the Hyatt Morristown?
 
Hotel Information
Hotel Accessibility Needs
(Please select all that apply)
 Wheelchair Accessible Room
 Roll-in Shower
 Deaf/Hard of Hearing Room equipment
 Dog Guide Care Information at check-in

 
Necessary Dietary Accommodations:
(We cannot provide for preferences)   
 Gluten Free
 Vegetarian
 Vegan
 Kosher
Food Allergies: 
 

Programmatic Accommodations
PLEASE NOTE:  Real-time captioning will be provided for everyone
I would like to request the following (Please select all that apply):
 Braile Materials
 Large Print
 E-Text / CD
 Sign Language Interpreter  
 ASL
 Signed English
 
The COSD 12th Annual National Conference officially begins on Thursday November 3 at 8:00 am in the Regency Ballroom of the Hyatt Morristown. All Meals are included in your registration and ALL are invited. Please refer to the Conference Information page for details.
Luncheon at the Hyatt Morristown (included in Registration):
Please confirm your attendance at the Luncheon 
Dinner at the Hyatt Morristown (included in Registration):
Please confirm your attendance at the Dinner 
 

Conference Registration Fee:
Employers  $350
Higher Education and Non-Profit Organizations $250
Click Submit to confirm your attendance at the COSD 12th Annual National Conference and you will land on the COSD E-Commerce page to provide your credit card payment information. For Employer Sponsors at the Bronze Level and above, please provide your company name to determine if there are any additional registration costs beyond the free registrations covered by your sponsorship.
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