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2011 Redding Regional On-Line Registration

by Shelly Tillery

Location of Regional:

Tuesday, October 4, 2011

Shasta County Office of Education

1644 Magnolia Avenue

Redding, CA  96001

(530) 225-0285 

 

Attendees  Names: 

(for additional attendees, please use the "comment" section at the bottom of this registration form) 

 

 

District/Company  
Address    City    Zip
Phone    Fax  

E-mail Address

(please use "one" e-mail address where follow-up materials will be sent)

 

2011 REGIONAL REGISTRATION RATES:
 

Shasta

 COE

 Non-Member
1st Registrant $75.00 $200.00
Subsequent Registrants $25.00 $200.00
P.O.# Credit Card   Visa MasterCard AMEX
Billable Amount:$
Credit Card # Exp.
Billing Address:
Name as it appears on card:
Date:  

Comments or additional attendees:

 

 

 
 

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