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2022 NC SHAPE Convention

Retiree Non-Member $100.00
For the best results, please respond to all registration items. You may respond "NA" to any items that are not applicable to you.
Are you a professional or a student?
 Professional    Student
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Are you a member of NC SHAPE?
Is this your first NC SHAPE Convention?
Are you a member of SHAPE America?
Office use only: