| Employment Information |
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| Personal Information |
This Information is Required for ACT48 Reporting: |
| Address Line: |
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Zip Code:
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| Home Phone: |
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| Registration Selection |
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Testing & Assessment -- Understanding Test Results to
Improve Building-Level Proficiency
Registration: 8:30 - 9 AM, Program: 9 AM - 4 PM, Lunch 12 - 1 PM
West - April 27, 2004
(Forbes Road Career &
Technology Center, Monroeville)
Central - April 28, 2004
(Capital Area Intermediate Unit, Summerdale)
East - April 29, 2004
(Center for Arts & Technology (CAT)-Pickering, Phoenixville) |
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West-Member Rate, $120 |
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West-Non-Member Rate, $175 |
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Central-Member Rate, $120 |
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Central-Non-Member Rate, $175 |
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East-Member Rate, $120 |
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East-Non-Member Rate, $175 |
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| Lunch |
Do you intend to stay for lunch (included in price)?
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Yes, I plan on staying for lunch. |
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No, I do not plan on staying for lunch. |
| Please Enter Purchase Order Information (If
Already Available) |
P.O. #:
Date:
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