December
7-8, 2006 Workshop Registration
Name:
________________________________________________
Title: _________________________________________________
School
District/Agency: ___________________________________
Mailing Address: ________________________________________
City/State/Zip: __________________________________________
Phone: ________________________________________________
E-mail: ________________________________________________
Check Number: _________
Purchase Order Number: ____________
Cost: $199 (includes materials, Thursday lunch and refreshments)
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Easy Ways to Register
Phone:
715-261-1980, x 1995. Please have your purchase order number ready.
Fax: 715-261-1981. Fax purchase order and registration
information.
E-mail: E-mail
purchase order number and complete registration information
Mail: Send registration form, purchase order number or
check payable to:
Marathon County Special Education
Attn: Kathy Matthaidess
1200 Lakeview Drive, Suite 350
Wausau, WI
54403
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