Fall 2017 Literacy Institute sponsored by Delaware Literacy Coalition and Diamond State Reading Association

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October 25th
Dover Downs, Dover Delaware
7:30am

Featuring:

Maximum attendance: 300

First Name: *

Last Name:

Address: *

City: *

State: *

Zip Code: *

Phone Number (Home): *

Phone Number (Work): *

E-mail Address: *

District: *

School: *

Position: *

Membership: *

Please check the council that you are currently a member of or the council you intend to join with your new membership

Reading Council of Northern Delaware (RCND)

Kent Council for Reading (KCR)

Sussex Council for Reading (SCR)

Required

Registration: *

Please make the appropriate choice (registration includes lunch)

$75 Teachers and Professionals

$25 Students (pre-service teachers)

$50 DLA (DSRA) Members

Other:

Required

Do you have a disability that requires special assistance or a special dietary need?

Please indicate in the space provided below

Will your school be paying for your registration via purchase order?

Please indicate PO #:

Registration payments:

Make checks payable to: Diamond State Reading Association (DSRA).

Delaware Vendor ID # 29324

Mail To:

DSRA
181 Maple Shade Drive
Magnolia, DE 19962
Attn: Fall Literacy Institute

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