LECNY/NYSAFLT 2019 Regional Registration
Please make your checks out to LECNY and mail to

Jessica Keane
4248 Lyra Course
Liverpool, NY 13090

**Or, visit www.lecny.org to pay via PayPal. **

First Name *
Your answer
Last Name *
Your answer
Last 4 digits of SSN
You only need to provide this if you need CTLE credit hours and would like a certificate of attendance.
Your answer
Phone Number *
Your answer
Email Address *
Your answer
School District *
Your answer
Languages Taught *
Your answer
Please check one. *
A LECNY 1 year membership is good from now until the end of 2020; a 2 year membership is good from now until the end of 2021.
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