Fall Workshop Registration

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电子邮件地址 *

First and Last Name

(As you would like them to appear on the PD hour certificate or as you registered for membership)

School/Position

School District (if applicable)
*

Durango/9R

Farmington Municipal Schools

N/A

其他:

Registration Type

Paid Member ($50 paid in fall)

Retired Paid Member ($30 paid in fall)

Student (Free with ID)

Non-member one time workshop $35 member/$20 retired

First Time attendee (free)

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Payment method (only if membership not paid in fall)

Cash/check at workshop

School PO

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