Registration – Roundtable – Fall 2021

Name *

First

Last

E-Mail *

Please provide your best contact e-mail.

Phone Number

Please provide your best contact phone number.

Educational Organization *

With what educational institution are you affiliated, if any?

AATG Membership *

Yes
No
Unsure

Are you a current, active member of the national AATG? (Dues paid)

Payment *

Yes

I understand that there is a non-refundable registration cost of $5 USD for this event, which I must pay digitally through PayPal on the following screen.

Comments or questions?