Registration Form for NASSPE IV, October 11 and 12, 2008
(Please complete form and PRINT it out; details below)
   
Name
 
Street Address  
City, State, ZIP code  
Work Phone Number  
School District (if applicable)  
E-mail Address  
If using a credit card, please specify Visa or MasterCard (sorry, we cannot accept American Express or Discover)  
If using a credit card, please provide credit card number  
If using a credit card, please provide exp date  
If NOT using credit card, please indicate method of payment (check, purchase order etc.)  
Number of attendees (if more than one, please also write the names of other attendees in this space)
Registration fee is $360 for one attendee; $330 per person for 2, 3, or 4 attendees registering together; and $300 per person for five or more attendees. Total registration fee
Please print out this form, then either MAIL it to NASSPE at 64 E. Uwchlan Ave., #259, Exton, Pennsylvania 19341-1203; or, you may fax the form to 610 993 3139.

Questions? Please call NASSPE at 301 461 5065 (ask to speak with Katie) or send us an e-mail.