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Email address
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Yes Yes
No
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Classroom Teacher/Paraprofessional
GT Coordinator/Administrator
Curriculum Director/Superintendent
Pre-service teacher
Parent (Not a school employee)
Vendor
AGATE Board Member
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Credit card (online payment)
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Personal Check
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Purchase Order
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Thursday and Friday ($225.00 Early Bird/ $250.00 Regular Rate)
Thursday ONLY ($125 Early Bird/ $150 Regular Rate)
Friday ONLY $125 (Early Bird Rate before / $150 Regular Rate)
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Name: Alexander, Allyson
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Name of School District: Basin Elementary District #5
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Name of School: Basin Elementary School
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School city: Basin
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Business Clerk Name: (or person responsible for payment) Britton Mann
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Business Clerk Email: (or email of person responsible for payment) briton.mann@bgs.k12.mt.us
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Payment will be required within 14 days or your registration will be deleted. Do you anticipate needing more time to make payment? If so, please contact Joe Helbling at joehelbling09@gmail.com
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Do you have food allergies? Please provide details about your food allergies. (nut, dairy, gluten, etc) Gluten
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Registrant Type
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How do you intend to pay?
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Conference Registration Fees
Please check the day(s) you plan to attend the conference.
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