Form

AZ AER Spring Workshop 2010 Registration Form Friday, April 9th Tucson, AZ Deadline: April 2nd, 2010
Thank you for supporting AZ AER. We are excited to offer you a fantastic learning and networking opportunity in Tucson.
Instructions: Step 1: Fill out on-line registration form by April 2nd. Step 2: Pay by either by check or PO* Check payments are due by April 2nd. PO payments are due by May 21st.
Mail all checks and POs to:
YAJU KUO, AZ AER Treasurer
4831 N. Calle Bujia
Tucson, AZ 85718
Participant Information
Last name*
First name*
Agency*
Street Address*
City*
State*
Zip Code*
Home Phone*
Work Phone*
E-mail*
Are you an AER Member?*
If you are an AER member, what is your member number?
Check all that apply. I am a:*

TVI O&M CVRT CLVT AT University Affiliate Student VI Consumer Administrator Parent
Conference Information
Registration fees include a boxed lunch from Beyond Bread.
Lunch entree*
We are going green for this workshop. All presentations will be made available electronically to reduce paper waste. Only a few documents will be available as a hard copy. Please select the format you prefer for the program, evaluation forms and voting ballot.
Conference materials*

Braille Large print Electronic Standard print
Fees
Register early as space is limited.

AER Member-$15

Non-AER Member-$30
Method of payment*
My registration fee is*
CONFERENCE CANCELLATION POLICY
All refund requests must be received in writing before April 2nd to receive a full refund minus a $10 administrative fee. No refunds will be available after April 2nd. If you register and do not show up for the workshop, you are still responsible for paying registration fees unless you request a refund/cancel your registration by April 2nd. By submitting this form, you agree to these terms.
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Participant Information

Conference Information

Fees