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2020 AGATE Spring Conference Registration
Please fill out one form for each registrant. Early bird rates apply if registered before 2/14/20. Payment will be required within 14 days or your registration will be deleted. If you anticipate needing more time to make payment, please contact Joe Helbling at joehelbling09@gmail.com.
Email address *
Name: *
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Name of School District:
Your answer
Name of School:
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School city: *
Your answer
Business Clerk Name: (or person responsible for payment) *
Your answer
Business Clerk Email: (or email of person responsible for payment) *
Your answer
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 *
Do you have food allergies? Please provide details about your food allergies. (nut, dairy, gluten, etc) *
Your answer
Registrant Type *
How do you intend to pay? *
Conference Registration Fees
Membership dues and lunch(es) are included in the registration fee. Early bird rates apply if registered before February 14, 2020 (save $35 over regular rate). Registrations received after February 14, 2020 will be charged regular rate. Payments received after April 16 will be charged a $25 late fee.
Cancellation Policy:
If cancelled by April 16: Full refund minus $60 administrative fee.

If Cancelled after April 16: Registration payments are non-refundable. You may send someone else in your absence if needed. Please inform us if this is the case.
Please check the day(s) you plan to attend the conference. *
Notes:
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A copy of your responses will be emailed to the address you provided.
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