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For more information,

email wandad@kasa.org

or call (800) 928-5272

Cost:

Registration - $245
KDPP Annual Dues - $20

KASA Annual Dues -
$.003 X total annual salary

  


   
 

KDPP Fall Institute Registration

  
 
First Name: Middle Initial:
Last Name:
Prefix/Title: Dr. Mr. Ms.
Position:
District:
School:
Address:
City:
Zip Code:
A/C Phone:
Mobile Phone:
Fax Number:
E-mail:
   

 Please Register Me For The KDPP Fall Conference:

 September 16-18, 2015
 Embassy Suites, Lexington KY


REGISTRATION

Registration Fee: $245.00
Include My Annual Dues With This Registration: $20.00
Include My KASA Dues With This Registration:$.003 X total annual salary

HOTEL ACCOMMODATIONS
A block of rooms has been reserved at the Embassy Suites in Lexington. To make lodging reservations, call (859) 455-5000.

Be sure to request the group rate of $141.95 per night (after August 17 rate will increase). Tax exempt certificates should be presented when checking in. The Embassy Suites does not accept purchase orders.

 

 Payment Options:

Purchase Order #

Check (Note: I've printed this form and mailed a copy with my check for the total amount due to KDPP, c/o KASA, 87 C. Michael Davenport Blvd., Frankfort, KY 40601)
  Guests attending with me or special needs information:
  

 
 
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