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Monday, February 6, 2012
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Registration Information (Please submit separate forms for each registrant) Choose one: Mr. Ms. Mrs. Miss. Dr. E-mail: First name: Last name: Title: District/COE: Address: City: State/Province: Zip/Postal Code: Phone: Fax: Registration Registration includes all instruction, materials, refreshments and lunch. Lodging is not included.
Please select choice below: School Employers Association of California member District $1,300/person Non-School Employers Association of California Member $2,600/person
Please Select One Payment Method
Will mail check or money order Check #:
Will fax purchase order 949.387.2502 P.O. Number:
Please make checks payable to: School Employers Association of California (SEAC) Mail to: SEAC 2172 Dupont Drive, STE 13 Irvine, CA 92612-1317 Telephone 949-387-1869; Fax 949-387-2502 email: seac@seacal.org
Cancellation Policy Cancellations must be in writing (email, fax, or mail to SEAC) and postmarked by November 12, 2010 to be eligible for a refund. A cancellation fee of $100 will be charged after this date.
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