Florida Statewide Teacher Education Conference
Registration Form
August 3-4, 2006
Central Florida Community College
Please register me for Florida Statewide Teacher Education Conference, August 3-4, 2006, Central
Florida Community College, Ocala, Florida.
Please duplicate this registration form and submit one completed form for each person registering.
Name:
Title/Position:
College/University/
School District/Agency:
Address:
Daytime
Phone:
E-Mail:
Emergency
Emergency Contact
Contact Name:
Telephone:
Check One:
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Registration Submitted by July 24, 2006 @ $50.00
Registration Submitted On Site @ $60.00
Check One:
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I would like to attend the Horse Farm Tour August 3, from 6:30- 8:30 p.m.
(Tour
is available to first 50 who register. Admission is free. Confirmation of registration for the
tour will be sent via email.)
I will not be attending the Horse Farm Tour.
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The registration fee includes breakfast, lunch and reception on August 3 and breakfast on August 4.
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Registration form should be received by Monday, July 24, 2006, to avoid onsite registration.
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Make checks/money orders/purchase orders payable to: FACTE.
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FACTE’s Tax Identification Number is 52-1355939.
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No refunds will be issued for cancellations or no-shows.
Mail Teacher Education Conference Registration and payment to:
Theresa B. Vernetson, FACTE Treasurer
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Assistant Dean, College of Education, Office of Student Services
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University of Florida
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PO Box 117042
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Gainesville, FL 32611
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Phone: (352) 392-0721 ext. 400 / Fax: (352) 392-4519
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E-mail: jdonovan@coe.ufl.edu
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Please make sure any mailed materials are addressed to Theresa B. Vernetson rather than FACTE.