Name *

First Name

Last Name

Phone *

(###)

###

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Type of Registration *

Member

Non-Member

Conference Dates Attending *

Please select the dates of your attendance. Early Bird (by March 1st) rates will be applied based upon the date registration is received.

2-Day March 19 & 20

2-Day March 21 & 22

4-Day March 19 - 22

Participation Track *

K-12

Higher Education

Address *

Provide the address of the district, college/university, or organization who is paying the invoice.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Phone *

Provide the phone number of a contact for the district, college/university or organization who is paying the invoice.

(###)

###

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To whom should the invoice be sent? *

Select where the invoice should be sent.

By mail to the payment contact.

By mail to you.

By email to the payment contact.

By email to you.