Dyslexia and Related Disorders Request
Please submit a request below 
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Email *
LEA Name
Please insert the district or charter school name
*
Contact Name and Position
Please insert the name (first and last) and position of the person requesting training. 
*
Phone Number 
Please insert the contact phone number
*
Email Address
Please enter the contact e-mail address
*
Request Type
Please select the type of request being made
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