PIRSA State Workshop

Registration Info

Dates & Location Thursday, June 4th – Friday, June 5th
University of Pittsburgh

Step 1: Registration Complete the Registration Form (Left Column)

Step 2: Payment Complete payment via the information in the Right Column.

Important Note

Students ONLY need to complete the registration form. You do not need to submit payment as conference registration is FREE for students.

Name *

Email Address *

Pronouns

Title *

Institution *

Attending Social? *

Hotel Needed? *

Dietary Restrictions/Comments/Requests

Mail check payments to:

Bobby Hermes, PIRSA Treasurer
Lehigh University
641 Taylor St.
Bethlehem PA 18015

(Checks made out to PIRSA)

Invoicing Inquiries:

Bobby Hermes, PIRSA Treasurer
E-mail: [email protected]
Phone: (610) 758-4369

Thank you to our sponsors!