2018 TICL Registration
June 11-12, 2018 - Buena Vista University - Storm Lake Iowa
Job Title *
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First Name *
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Last Name *
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Folder Number *
If you are certified, please enter your folder number. If you don't have a folder number please enter n/a.
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Email Address *
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District *
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I agree to pay this amount *
Registration Info
Make checks payable to:
Northwest AEA

Send to:
Northwest AEA
ATTN: Joyce Vander Wilt
1382 4th Ave., NE
Sioux Center, IA 51250

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I would like Class/Grad Credit or Licensure Renewal
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