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Registration is $10 payable via cash, check, money order, or credit card
*First Name
Last Name
*Address
*City
*State
NY
*Zip
School
Phone
*E-mail
*Age Group? (As of November 21, 2009)
Under 13
13 - 25
Over 25
How did you hear about the YES Conference?
Please choose one...
Falcone Center
Poster/Flyer
Internet
Newspaper
Parent
Teacher
Friend
Are you currently a business owner?
Yes
No
What is the most entrepreneurial thing you have done in your life?
Have you connected to YES on
Facebook
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Yes
No
I am a...
Student
Teacher
Parent
How do you want to pay?
Online
By Mail