Pre-register by e-mail or by fax
1.
E-mail - quickest way to pre-register:
E-mail information below, A thru K, to:
samrhine@aol.com
If you
Pre-register by Email you will receive Confirmation by Email
or 2.
Fax this form toll free to (888)
228-5921
If you Pre-register by
Fax you will receive Confirmation by
Fax
Include the following information in your e mail or fax:
A.
Your School:
B. Your School
Address:
C.
City
State
Zip
D.
School Phone w/ area code ( )
E. School Fax w/ area code
( )
F. Conference Site:
G.
Conference Date: January 24, 2008
H. Number of Students Attending:
_____
Please do not
pre-register 30 and arrive at the conference with 10!
Last year some
students were needlessly turned away because
seats
were reserved for students who did not show
up!
I. Number of Teachers Attending:
_____
J. Teachers Attending and their
Email addresses:
(Future
conference invitations will be by Email; all email addresses are
secure)
Teacher’s Name(s) Teacher’s
Email address
1.
2.
3.
4.
K. 'Teacher in Charge'
name & home / cell
phone
for:
unexpected
emergencies, delays, cancellations etc. - All
Secure!
Name ___________________
Phone ____________________
Sam Rhine - Office
Phone (800)727-2315 - Fax (888) 228-5921 - Cell (317)
439-7493
14000 East 113th Street,
Fortville, IN
46040-9623 - samrhine@aol.com
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