2009 Legislative Seminar Registration

printable form

2010 Legislative Seminar Registration

Thursday, February 25, 2010

Online Registration Form

First Name ^* MI Last Name ^*

Employer ^*

Address ^*

City ^* State ^* Zip Code ^*

Phone ^* Ext.

Email ^*

^{WACTE Membership #

Local Association}

^{Not a member? Click
here to
join!}

Type of Registration^*

Choose One:
WACTE Member - $110
Non-Member - $140
Student - $55
Registration fee includes lunch, breaks and registration materials.

Method of Payment^*

Choose One:
Check Purchase Order

Check# or PO# ^**if PO # or Check # is not available please enter “to follow”

Conference Attendance Accessibility/Special Needs: If you need disability-related accommodations or have special dietary requests while in attendance at the conference, please identify below:

By submitting this form you are registering for the conference and agreeing to send payment as indicated above immediately. Online registrations will be treated the same as mail in and call in registrations.

Registration deadline is February 10, 2010. Registrations are limited – First come, first served.

Cancellations: A $15.00 administrative fee will be charged for all cancellations. To request a refund before February 10, 2010, send a letter to:
WACTE
518 Potomac Lane
Madison WI 53719
No refunds will be issued after February 11, 2010.

NOTE: All fields with an^* following them must be filled in.