2019 MassMATE Symposium (Purchase Orders)
Please use this form to register participants for the 2019 MassMATE Symposium on May 29, 2019 at Stonehill College.

The cost is $75 per person.

For all inquiries regarding registrations paid via Purchase Order please contact Kate Marin at kmarin@stonehill.edu or 508-565-1945.

Sending District *
Your answer
Contact First Name *
Your answer
Contact Last Name *
Your answer
Contact Email Address *
Your answer
Contact Phone Number *
Your answer
Purchase Order Number *
Your answer
Submit Invoice to: *
Please include a full name and address for invoice shipment.
Your answer
Number of Registrations on Purchase Order *
Group registrations are limited to 5 participants per purchase order. Multiple purchase orders may be submitted by any district/school. Please complete a new registration form for each purchase order.
Attendee #1 Email Address *
Your answer
Attendee #1 First Name *
Your answer
Attendee #1 Last Name *
Your answer
Attendee #1 Position *
Required
Attendee #1 Area of Interest
Attendee #1 Dietary Restrictions *
Please provide details about any dietary restrictions, and we will do our best to accommodate your needs.
Your answer
Attendee #2 Email Address
Your answer
Attendee #2 First Name
Your answer
Attendee #2 Last Name
Your answer
Attendee #2 Position
Attendee #2 Area of Interest
Attendee #2 Dietary Restrictions
Please provide details about any dietary restrictions, and we will do our best to accommodate your needs.
Your answer
Attendee #3 Email Address
Your answer
Attendee #3 First Name
Your answer
Attendee #3 Last Name
Your answer
Attendee #3 Position
Attendee #3 Area of Interest
Attendee #3 Dietary Restrictions
Please provide details about any dietary restrictions, and we will do our best to accommodate your needs.
Your answer
Attendee #4 Email Address
Your answer
Attendee #4 First Name
Your answer
Attendee #4 Last Name
Your answer
Attendee #4 Position
Attendee #4 Area of Interest
Attendee #4 Dietary Restrictions
Please provide details about any dietary restrictions, and we will do our best to accommodate your needs.
Your answer
Attendee #5 Email Address
Your answer
Attendee #5 First Name
Your answer
Attendee #5 Last Name
Your answer
Attendee #5 Position
Attendee #5 Area of Interest
Attendee #5 Dietary Restrictions
Please provide details about any dietary restrictions, and we will do our best to accommodate your needs.
Your answer
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