2009-10 Superintendent Directory Order Form

This directory is available to educators at $25 per copy and is available to business partners through KASA's corporate membership program.

First Name:	Middle Initial:
Last Name:
Prefix/Title:	Dr. Mr. Ms.
Position:
District:
School:
Address:
City:
Zip Code:
A/C Phone:
Fax Number:
E-mail:	*Required

Please send me the following:
Qty KASA Superintendent Directory
Payment Options: $25 each (includes shipping and handling)
Purchase Order #
Check (Note: I've printed this form and mailed it with my check to 152 Consumer Lane, Frankfort, KY 40601)

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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