ILCCBD Winter Conference 2026 Registration Form

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This form is for registering by personal check, purchase order, or Zelle bank transfer.

1. CEC Member $20

How many needed?

2. Non CEC Member $30

How many needed?

3. Student, Paraprofessional, Parent $5

How many needed?

4. Guest of CEC Member ($0)

Only one per registered CEC member allowed.

5. List the names (first and last), email addresses, IEIN# (for Illinois residents who want PDUs), and registration type (CEC Member, non Member, etc.) included in this order. The email address provided will be the one used to confirm receipt of the registration, communicate with the registrant, and send Zoom links for each day of the conference.

6. To submit payment by

Personal checks or purchase orders should be made payable to ILCCBD and should be sent by by January 25th to Bev Johns, P.O. Box 340, Jacksonville, IL 62651.

Zelle transfers should be sent to Jason Coleman 2178913135.

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