AZ AER Spring 2023 Conference Registration

Registration

AZ AER Spring Conference

March 31, 2023

In partnership with VRATE

Glendale Civic Center, Glendale, AZ
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Agency, Organization, or School District (if applicable)
I am a (check all that apply)*

TVIO&MCVRTAT SpecialistUniversity StudentAdministratorLow Vision SpecialistParaprofessional/IntervenerSpecial Education TeacherEarly Intervention TeacherOther
Accessible Format Preference (if attending in person):

BrailleLarge PrintRegular Printn/a (not attending in person)
Conference Preference

One-Day In Person $50.00Virtual $50.00
Please note: Spring Conference registration does not include lunch. Food trucks will be available at the Civic Center for food/drink purchase.
Method of Payment*

Personal CheckPayPal Credit/Debit cardPO from Agency Listed in Comments BelowOther
Comments?
Purchase Orders, or any questions regarding purchase orders or other forms of payment, can be mailed to Megan Mogan at megan.mogan@asdb.az.gov
Total Cost
Conference Cost

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USDDescription

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QUESTIONS??

If you have questions, or problems with the form, please contact:

Danielle Cummings (AZ AER President) Danielle_Cummings@msn.com

Megan Mogan (AZ AER Treasurer) megan.mogan@asdb.az.gov
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