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2012 ACTE Region 3 Professional Development Conference
 
June 21 & 22, 2012
Madison Marriott West, Middleton, WI

 

Online Registration Form


 

 First Name *   MI    Last Name *

 

     Employer *

 

     Employer's Address *

 

     City *   State *   Zip Code *

 

     Phone *   Ext.

 

     Email *

 

    

                                
Type of Registration*


$165 Early Bird Registration (prior to 6-1)

$185 Registration after June 1

 

 

                                 
Method of Payment*

Choose One: 
Check   Purchase Order

Check# or PO#

 

 

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 May 29, 2012.

Cancellations:  A $20.00 administrative fee will be charged for all cancellations. To request a refund before May 30, 2012. send a letter to:
WACTE
2307 Parmenter Street
Middleton, WI  53562
NO REFUNDS WILL BE ISSUED AFTER June 1, 2012.

 

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