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Please
choose one of the following registration options:
Registration
$100
$85
for previous participants of FASCD's Fort Walton
Beach PDI in Jan. 2008
(FASCD
will confirm participation).
Payment
Information
Payment Method:
(If paying by check
please print out registration or download
mail in form. Mail to: Florida
ASCD, 11225 Kapok Grand Circle, Madeira Beach,
FL 33708)
CREDIT CARD INFORMATION
Name on Account:
Credit Card Account Number:
Expiration Date:
I
authorize FASCD to charge my credit card for
conference registration.
PURCHASE ORDER INFORMATION
Purchase Order Number (if
applicable):
Please fax or mail a hard copy to Florida ASCD.
Please Note:
All registrations must be accompanied by a
check, credit card authorization, or hard copy
of purchase order.
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