ACE Interface Registration- January 22, 2021
Submission of this registration (with payment, if applicable) saves your spot at this event.  If you become unable to attend, please call the Extension Winnebago County office at (920) 232-1973 to cancel your registration so that we can plan accordingly.
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Email *
PLEASE COMPLETE THE FOLLOWING CONTACT INFORMATION TO COMPLETE YOUR REGISTRATION.
Your contact information is necessary for us to be able to send necessary program materials and reach you with any changes to the schedule or future opportunities.
Friday, January 22nd 9:00 am to 12:00 pm on Zoom
First Name *
Last Name *
Agency/Organization Name
(If Applicable)
Phone
Address
City
State
Zip
NOTE: IMPORTANT ZOOM CONNECTION INFO
After you click "submit", a message will appear with the information you will need to connect to the weekly Zoom sessions.  Copy this information and paste it to your calendar.
An EEO/AA employer, University of Wisconsin-Madison Division of Extension provides equal opportunities in employment and programming, including Title VI, Title IX, and ADA/504 requirements. Please make requests for reasonable accommodations to ensure equal access to educational programs as early as possible preceding the scheduled program, service or activity.

For communicative accommodations in languages other than English, please contact oaic@extension.wisc.edu.
For communicative accommodations based on a disability, please contact Heather Lipinski Stelljes at: heather.stelljes@wisc.edu for the public.
A copy of your responses will be emailed to the address you provided.
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