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2020 KEMPA Winter Advisers Seminar REGISTRATION FORM
March 6-7, 2020 @ Lake Lawn Resort in Delavan, WI
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Email
*
Your email
First and Last Name
*
Your answer
Mailing address
*
Your answer
School Name
*
Your answer
Email (we'll confirm your registration & email updates to this email address)
*
Your answer
Phone number
Your answer
Check all the publications you advise:
*
Yearbook
Newspaper
News/ Feature Magazine
Literary Magazine
Online
Broadcast
Required
So we know, are you also a member of the Journalism Education Association (JEA)? Choose the most correct answer:
*
Nope, not a member of JEA
Yes, a JEA member
Yes, AND I've earned the CJE distinction
Yes, AND I've earned the MJE distinction
Required
Choose one for lunch
*
Roasted Turkey, Apple and Brie Salad GF
Frontier Burger
Do you have dietary needs that a burger or gluten free turkey sandwich doesn't meet? Check this & we'll follow-up with you.
Will you attend Friday dinner?
*
Yes
No
Will you attend on Saturday?
*
Yes
No
Will you be staying at the resort?
*
Yes
No
What $amount do you owe? Please note if you are paying for any extra meals below as well.
Your answer
What is your form of payment?
*
Your answer
For more information:
A copy of your responses will be emailed to the address you provided.
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