The 2012 East Texas Regional WebEOC® Workshop is scheduled for March 20-21, 2012 in Lufkin, Texas. 

Registration fee is $100.  Credit cards are accepted (paypal account not required), or you may print an invoice and submit with a check from your agency. Please fill out this form for the person attending the workshop. 

Hotel reservations can be made on the next screen with special pricing. 

2012 East Texas Regional WebEOC® Workshop Registration and Information Page
Name *	First Last
Address *
City *
State *	Please Choose TX LA NM OK Other
ZIP Code *
Contact Number *	### - ### - ####
Cell Number	### - ### - ####
Email Address *
Confirm *
Agency or Hospital you are representing? *
RAC Affiliation Regional Advisory Council *	Please Choose F G H Other RAC I Dont Know
COG Affiliation Council of Governments *	Please Choose 5 6 14 Other COG I Dont Know
Do you currently have and know your WebEOC® login to the NETWEBEOC.ORG server? *	Yes   No   I Dont Know
Did you attend the 2011 WebEOC® Workshop? *	Yes   No
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