November and December 2017 Proficiency-based Instruction Registration
Registration Fee -- $275 MCLA Members, $300 Non-members. Deadline October 26, 2017. Register 1 -- 5 Participants.
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Purchase Order Number:
A Purchase Order number is required if not paying immediately by check.
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1. Contact Person -- First Name
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Last Name
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Position
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District/Organization
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Email address
Email addresses are used to confirm registrations for each participant, inform registrants about weather cancellations, and to send participation certificates after the event.
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Location
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MCLA Member Discount
2. Registration # 2 -- First Name
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Last Name
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Position
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Email address
Email addresses are used to confirm registrations for each participant, inform registrants about weather cancellations, and to send participation certificates after the event.
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Location
Strand:
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MCLA Member Discount
3. Registration #3 -- First Name
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Last Name
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Position
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Email address
Email addresses are used to confirm registrations for each participant, inform registrants about weather cancellations, and to send participation certificates after the event.
Your answer
Location
Strand:
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MCLA Member Discount
4. Registration #4 -- First Name
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Last Name
Your answer
Position
Your answer
Email address
Email addresses are used to confirm registrations for each participant, inform registrants about weather cancellations, and to send participation certificates after the event.
Your answer
Location
Strand:
Choose one.
MCLA Member Discount
5. Registration #5 -- First Name
Your answer
Last Name
Your answer
Position
Your answer
Email address
Email addresses are used to confirm registrations for each participant, inform registrants about weather cancellations, and to send participation certificates after the event.
Your answer
Location
Strand:
Choose one.
MCLA Member Discount
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