Spring Fling Conference 2020 (March 26-27)
Please complete the form below. When you are finished, be sure to click the "submit" button on the bottom of the page.
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Last Name: *
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First Name: *
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Title/Position: *
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Phone Number (+area code): *
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Email Address: *
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Registration: *
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Housing (NCECBVI dorm): *
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School District/ESU Name: *
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School District/ESU Street and/or P.O. Box (for billing): *
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School District/ESU City: *
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School District/ESU Zip: *
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Name of Person to Contact About Billing (if questions): *
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Billing Person's Phone Number (+area code): *
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Billing Person's Email Address: *
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Payment(check should be received by March 13, payable to NCECBVI): *
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How did you hear about this conference?: *
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My current knowledge of CVI is: *
Name & Relationship of Emergency Contact: *
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Phone Number(s) for Emergency Contact: *
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Please Note Any Accommodations Needed: *
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