NJSMA Elementary Workshop: AMY ABBOTT

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Registration Form for NJSMA Elementary Music Division Annual Fall Workshop
Date: Monday, October 10, 2022
Time: 9:30 am-3:00 pm. (Registration at 9:00 am)
Location: The Mansion at Mountain Lakes (90 Rt. 46 East, Mountain Lakes, NJ)
Registration fee: $95
Registration fee includes Full Day Professional Development Workshop, Continental Breakfast and Buffet Lunch
(Discounted NAfME member fee: $90. Current ID # and expiration date required)

Registration fee payable to NJSMA.
MAIL CHECK OR PURCHASE ORDER TO: KAREN ANDRUSKA, REGISTRAR: 193 Levinberg Lane, Wayne, NJ 07470
Venmo option: Send Venmo payment to @NJSMA (located in Venmo payment under Businesses) Indicate the following: Price; What it's for: October 10 Workshop and add your first and last name which you are using to register.

Email *

Amy Abbott Workshop - October 10, 2022

First name: *

Last name: *

School district *

School name *

School town and state *

Email address (please check and double check for accuracy - your typed answer is what we will use for all workshop correspondences!) *

Indicate method of payment. *

The registration fee is payable to NJSMA. Pay via Venmo, check or PO. Venmo details below. Mail check or purchase order to: Karen Andruska, Registrar, 193 Levinberg Lane, Wayne, NJ 07470.

$95 Venmo payment - (send Venmo payment to: @NJSMA) Indicate the following: Price - $95; What it's for: October 10 Workshop, and add your first and last name which you are using to register.

$90 NAfME member discounted Venmo rate: (NAfME info required below)

$95 Purchase Order

$90 NAfME member discounted Purchase Order rate (NAfME info required below)

$95 check, payable to NJSMA

$90 check, NAfME member discount, payable to NJSMA

Other:

Code for VENMO payment (search for @NJSMA under Businesses)

If you indicated that you are a current NAfME member, please list your NAfME ID number: If you are not a member, please write N/A. *

If you indicated that you are a current NAfME member, please list your current expiration date (must be valid on 10/10/22). If you are not a member, please list N/A. *

I understand that I am not considered registered until payment via check or Venmo for $95* or notification of PO processing has been received. (*$90 for current NAfME members.) *

Yes, I understand.

If paying by PO, I will share the following with my school's business office: The organization (NJSMA) address is: 180 Bloom St. #109 Hackensack NJ, 07601. The Tax ID# is 22-3629391. *

Yes, I understand.

N/A

How did you hear about the workshop? *

Email from NJSMA

NJMEA facebook page

Colleague/Word of Mouth

NJSMA website

Other:

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Reminder: Please make sure you correctly typed your preferred email address. We cut and paste the email address you typed above when sending a confirmation email and subsequent information.

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Thank you for completing the registration form. PD certificates will be provided at the conclusion of the workshop. You will receive registration confirmation via email upon receipt of Venmo payment, a check, or PO.

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A copy of your responses will be emailed to the address you provided.

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