KASS Summer Institute Registration

Schools That Work

June 3-5, 2008

Radisson Hotel, Lexington

First Name

Last Name

Prefix/Title

Dr. Mr. Ms.

Position

School/Agency

A/C Phone

Fax number

Address

City

Zip Code

E-mail

* required

Institute Registration June 3-5, 2008

	KASS Member $250 (Register by May 2 and receive early bird rate of $200)
	Non Member Registration $450
	KASS Retired Member Registration $25

	qty. Guest Extra Luncheon Tickets $25 Each

Payment Method

	Check (I've printed my registration form and mailed a copy along with a check for the total amount due to: KASS, c/o KASA 152 Consumer Lane, Frankfort, KY 40601.)
	Purchase Order #
	Invoice my District

	Guests attending the conference with me:

Return to Top

Wayne Young, Executive Director
Rhonda Caldwell, Deputy Director
Clyde Caudill, Legislative Liaison
Shirley LaFavers, Director of Professional Development
Wanda Darland, Communications Specialist

152 Consumer Lane
Frankfort, KY 40601
(800) 928-KASA or
(502) 875-3411

Fax (502) 875-4634