Register for the Oblate Convergence of Circles Please register for the upcoming Oblate Convergence of Circles meeting, January 26, 2019. The registration deadline is January 22, 2019. If you are requesting a scholarship, you will not be able to register online but you can download a registration form (coming soon) and register by mail. If you have questions please contact us at email@example.com, 608-836-1631, x100. Please register me for the Oblate Convergence of Circles on January 26, 2019. I understand the cost is $40.*Oblate Convergence of Circles, January 26, 2019I would like to make an additional scholarship donation of: Name* First Last Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhonePhone type* Cell phone Home phone Work phone Dietary restrictions*NoneVegetarianVeganGluten-freeDairy-freePlease list any other medical food allergiesPlease list any special needs or other notesTotal $0.00 This iframe contains the logic required to handle Ajax powered Gravity Forms.