Patterns of Distinction - A FREE Security Conference for small business and security gurus - Murray State Center for Telecommunications

2012 REGISTRATION

Classification:	Student Faculty/Staff Industry/Government
First Name:			Last Name:
Address:
City:
State:		Zip Code:
Email:
Phone Number:
Do you plan to attend the TSM Awards Luncheon? (This is a free lunch for all POD attendees) Yes No Do you plan to attend the Pre-Party on Wednesday night, at Big Apple Cafe, 5:00-7:00pm? Yes No Do you need transportation to/from the Pre-Party? Yes No
About you (your classification, position, company, etc.):
Home Country:	If you are a student, please also complete the following:
Major:
Class Standing:	(freshman, sophomore, etc.)

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