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REGISTRATION:
The number of participants in the conference is limited to 45. First come, first serve. Registration date is the date of
payment received. You will receive an email confirming your registration.
Name Email___________________________
School Tel_____________________________
Address__________________________________________________________________________________________
State SS#_____________________________
(needed to receive PDP, CEU or similar credits)
For the purpose of designing the optimal workshop experience for all participants, please provide us
with the following information:
Fax: 802.457.2989
Telephone: 802.457.1213
RDE@WCSU.net