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Last Name *
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First Name *
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Home Mailing address: street/PO box, city, state, Zip *
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Preferred phone number *
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School/District/Institution *
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Name of School/Institution *
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Language(s) Taught *
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In which type of program do you teach (select all that apply). *
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Select your mode of payment ($40 membership to AFLA, including PNCFL dues, is included in your conference registration) and don't forget to SUBMIT this Google form afterwards to receive a copy of your responses: *
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PayPal $200 + $2 service fee
Venmo $200 + $2 service fee
Mail Check $200 payable to AFLA
Discounts for AFLA 2024:
$65 discount for First Year Teachers / First Time Attendees / Student Teachers & Language Interns
$20 discount for Confirmed Presenters
Verify status with AFLA Treasurer Will Kimball - kimball_william@asdk12.org