2017 IFSER Educator's Summit Registration
Email address *
July 28-29, 2017 in New Orleans, LA
Come learn with us!
Attendees First Name *
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Attendees Last Name *
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Mailing Address *
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City, State, Zip *
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E-Mail Address *
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ARDMS #
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SDMS #
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AART #
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CCI #
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Phone Number *
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Will you be staying at the New Orleans Downtown Marriott ? *
Please indicate the days you plan to attend: *
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Will you be bringing a guest to the Social Network Friday and/or Saturday night? If so, please provide a name (note: $15 per guest per evening)
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Will you pay for the conference registration through the PayPal link provided NOW or mail a check to IFSER P O Box 132168 Tyler Texas 75713 by June 1, 2017 *
To assist us in tracking registrations, please indicate the name of the person or organization who will be making payment through our PayPal system. *
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