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Building a Better Mousetrap
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FLAG 2003 State Conference Registration Form
(Deadline for pre-registration: postmarked by September 26,2003)
Last Name
First Name
Street
email
City
State
Zip
Home Phone (area code first)
Work Phone (area code first)
Fax (area code first)
School District/County
Circle All That Apply:
Parent Teacher Administrator Other
Check
All
That
Apply
October 17–18, 2003
9:00 a.m. – 4:20 p.m. Friday & 8:00 a.m. – 2:00 p.m. Saturday
(Registration at 7:30 a.m. Friday & 7:30 a.m. Saturday)
Sheraton World (10100 International Dr. Orlando, FL 32821 1-800-327-0363)
I am a current FLAG member and am registering at the member price. (Your membership
expiration date is on the mailing label of this flyer and other correspondence you receive
from FLAG.)
I am a current FLAG member, but it is time to renew, so I am enclosing an additional
$25.00 for renewal to FLAG.
I am not a FLAG member, but I would like to join at this time, so I am enclosing an
additional $25.00 for membership in FLAG.
I am not a FLAG member and I am paying the nonmember registration fee as detailed
below.
2-Day Session Conference Package
(Friday and Saturday)
$130.00 Non FLAG Member
$100.00 FLAG Member
Includes:
Friday Box Lunch,
Friday Afternoon Wine & Cheese Social &
Auction, and Saturday Brunch
Enter $
Amount Below
$________
Friday Only Session
$110.00 Non FLAG Member
$80.00 FLAG Member
Includes:
Friday Lunch and
Friday Afternoon Wine & Cheese Social
& Auction
Enter $
Amount Below
$________
Saturday Only Session
$110.00 Non FLAG Member
$80.00 FLAG Member
Includes:
Saturday Brunch
Enter $
Amount Below
$________
Additional $25.00 for dues of new or renewing members:
$________
Make all checks payable to FLAG (Florida Association for the Gifted).
Mail completed registration form and payment to:
FLAG c/o Martha Kesler
Orange County Public Schools
445 W. Amelia St.
Orlando, FL 32801
$
________
Total
Enclosed
*** Purchase Orders MUST be made out to “FLAG” ***
$10.00 reduced fee if postmarked by date of 08/15/03