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Infancy Institute Conference Registration Form
This form is ONLY for those paying by check or purchase order (PO). You will need to provide the check # or PO # in the form. If you are paying by credit card, please register via Eventbrite -
https://www.eventbrite.com/e/34th-annual-infancy-institute-tickets-137429572551
For questions, please contact Gretchen Adams,
gadams@bankstreet.edu
, and Margie Brickley,
mbrickley@bankstreet.edu
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Payment Information
Please fill out the information below. We will send an invoice at the end of the conference.
Early Bird Registration (through February 28)—$175
General Admission (after February 28)—$200
Select your registration
*
Choose
General Admission (after February 28)—$200
Indicate the number of attendees
*
Your answer
Please indicate your payment type and check or PO # below (e.g., check # 1234, PO # 1234)
*
If you do not have the check or PO #, please indicate the date when it will be available. For POs, invoices will be sent after the Conference.
Your answer
Please list the names and email addresses of those attending the conference. If the person registering will also be attending, please list your name and email below. All Attendees will need to select workshops for the day of the conference.
*
Your answer
Check Payments
Please make checks payable to:
Infancy Institute at Bank Street College, c/o Gretchen Adams
610 West 112th Street
New York, NY 10025
A copy of your responses will be emailed to the address you provided.
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