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Registration
   
First Name: Middle Initial:
Last Name:
Prefix/Title: Dr. Mr. Ms.
Position:
District:
School:
Address:
City:
Zip Code:
A/C Phone:
Fax Number:
Mobile Phone:
E-mail: *Required
   
Please register me for the following:

 

 
 Payment Options:

KASA Members: $79 per day ($158 two days)

Non-KASA Members: $109 per day ($218 two days)

Purchase Order #

Check (Note: I've printed this form and mailed it with my check to 152 Consumer Lane, Frankfort, KY 40601)

  • Cancellation Policy:  Written cancellation will be accepted until 48 hours prior to the date of the session (March 15, 2012 by 8 a.m.) After that time, no refunds are given.

  • KASA reserves the right to cancel any workshop that does not have adequate participation.

 
 
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Wayne Young, Executive Director, General Counsel
Rhonda Caldwell, Deputy Director
Clyde Caudill, Legislative Liaison
Wanda Darland, Web, Publications, & Affiliate Services Coordinator
Shirley LaFavers, Director of Professional Development

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

Fax (502) 875-4634