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C-SPED June 9-10, 2008 A Meaningful Summer Institute

Register Online Today!

Participant Information
2008 C-SPED Summer Institute

Please register only one person per submission.

If you are a Subscriber, please login Before completing this form!

*Name:
*Position:
*School District:
*School:
*Address 1:
Address 2:
*City:
*State:
*Zip:
*Phone:
Fax:
*E-Mail:
PLEASE VERIFY THAT YOU TYPED THIS CORRECTLY!

If your billing address is different,
Check Here:
and fill in the fields below.

*Name:
*Position:
*Address 1:
Address 2:
*City:
*State:
*Zip:
*Phone:

Registration Rates
(If you are a current Subscriber, please login before completing this form.)

Registration Rates:

*C-SPED Subscriber Rate: $265.00
Non-Subscriber Rate: $285.00
Additional Team Members: $245.00

*Please note that to receive the C-SPED Subscriber Rate on registration, you must be a registered user of the C-SPED web site.

Enrollment Type:

Enroll Me: (*C-SPED Subscriber Rate: $265.00; Non-subscriber Rate: $285.00)

Enroll Me as Additional Team Member:: (*Additional Team Member: $245.00)
(To qualify for the discount as an Additional Team Member, another Subscriber or Non-Subscriber participant must enroll to attend the Institute.)


Session Choice

Choose Only One Strand to Attend (Choice cannot be changed after June 2, 2008)

I will attend Strand l – Filling In the Blanks: Section 504 and IDEA Legal Updates - Carolyn Black and Jim Keith, Presenters

I will attend Strand ll - Cracking the Code: Unraveling the Combination Between the TST Data, LSC Review and Eligibility – Dianne Enis, Ceceila Leach and Deborah A. Thompson, Presenters


Payment Information

To finalize your registration, receipt of a purchase order number or payment check is required.

Payment Options:
Please indicate the desired option of payment below (check or purchase order required for registration to be processed):

*Purchase Order Number:   

(Districts or agencies that submit a purchase order number will be billed for payment. If one Purchase Order Number is used for more than one participant from your district/agency, ensure the correct Purchase Order Number is designated for each individual participant submitted through online registration.)

* Check Number:   

Checks should be made payble to The Center for Special Education Services and mailed to P.O. Box 2752, Ridgeland, MS 39158-2752

(C-SPED's Federal I.D. No.: 20-0846727)