Registration for CPAM Leadership Seminar - April 1, 2020-
CPAM Leadership Seminar Registration Form for PayPal payments only. April 1, 2020 in Chicago. --- more information click on http://www.cpam.org/seminar.html
Email address *
Nickname or Name for Badge *
Your answer
Last Name *
Your answer
First Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
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Zip *
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Personal Phone Number Including Area Code *
Your answer
Award State *
Your answer
Year of Award *
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Grade Level *
Required
Are you currently in the classroom? If so, give grade level. *
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Are you currently in administration? If so, indicate what capacity.
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Are you retired?
Guest Information. Please make sure you include guest payment.
Guest's first name
Your answer
Guest's last name
Your answer
Guest's Email address
Your answer
Guest Phone Number
Your answer
Guest Nickname-Name for Badge
Your answer
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