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Please use this form only if registering on-line by MasterCard, Visa or American Express. If you would like to pay by check go here. DO NOT SUBMIT this form if paying by check—registration will not be recorded. The deadline for Pre-registration is November 1, 2006. On-site registration is required after that date. Please note MESA’s refund policy listed below. Once you complete and submit this form, you will proceed to a page where you can make your on-line secure payment. Once payment is received through our payment portal, the details from this form will be processed in the MESA database. Please direct questions about registration to Sara Palmer at palmers@email.arizona.edu or 520-626-4753.
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