IMLA Administrators Round Table Registration

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2023 Annual Conference

Email *

Registrant Information

Last Name *

First Name *

School/Organization Street Address/P.O. Box *

School/Organization *

City *

Zip Code *

There will be an administrator’s roundtable on Friday evening from 4:30 – 6:00 p.m. (This may include counselors, assistant principals, principals, superintendents, etc.) – Cost will be $ 40.00. *

Will you or someone from your school be joining the administrative roundtable?

Yes - 1 person for $40.00

Yes - 2 people for $80.00

Yes - 3 people for $120.00

Yes - 4 people for $160.00

Other:

Required

Total Amount Due *

Payment accepted by P.O. or check

Type of Payment *

Personal Check

School/District Check

District Purchase Order

School Purchase Order

P.O. or check number *

Mailed to: IMLA Conference, P.O. Box 815, Meridian, ID 83680

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

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