ETEA 2006
Winter Workshop Registration Form
February 25, 2006
McMinn County High School
(Athens, Tennessee)
Registration Information (Please Print):
Name ___________________________________________
Title/Grade Level___________________________________
School___________________________________________
Home Address_____________________________________
City _____________________________________________
State ____________________________________________
Zip Code _________________________________________
Phone ___________________________________________
Fax _____________________________________________
E-mail ___________________________________________
(Fax/e-mail may be used for registration confirmation)
$75 Registration Fee (includes continental breakfast, lunch, and
hospitality breaks, and a certificate of attendance.
Special rates for multiple registrations from same school system:
1-10 people........$75 each
11+ people......$65 each
Mail or Fax (Deadline February 16, 2005)
Mail $75 (or multiple registrations) fee and registration form to:
Lana Doncaster
ETEA Executive Director
3706 Channel Drive
Louisville, TN 37777
You may fax completed registration form: (865) 380-9071
Questions??
Please direct all questions to Lana Doncaster, Executive Director
Phone: (865) 379-0005
E-mail: lanad@usit.net
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