Vermont Council On Reading Conference (Page 3 of 3) in pdf

Vermont Council On Reading Conference Page 3

2015 Vermont Council on Reading Spring Conference Registration Form

Registration Option 1:

Registration O ption 2 :

Mail y our c heck ( payable t o V ermont C ouncil o n R eading) o r p urchase o rder w ith t his p aper f orm t o:

Dr. Juliet Halladay

President, Vermont Council on Reading

Education Department 530 Waterman University of Vermont

Burlington, VT 05405

Name: ____________________________________ School or Organization:___________________________

Position:_________________________________Grade levels you teach: ______________________________

Home Address:

Email address (required for confirmation of registration):

Payment Information:

Registration Fee (Includes the full day of conference events, continental breakfast, lunch, and a complimentary one

year membership to the Vermont Council on Reading.)

Please check the one that applies to this registrant.

_______$185 per person, postmarked or received online by March 15.

_______$195 per person, after March 15.

_______$95 for retired teachers & full time undergraduate or graduate students.

(Include proof of student status.)

Important Directions:

• Make all checks and purchase orders payable to Vermont Council on Reading.

• If paying by purchase order, please send a copy of the signed PO with your completed registration form.

Payment (check or purchase order) must accompany each registration. Registrations without

payment will be returned.

• If using one check or purchase order for multiple registrations, please enclose a completed registration form

for each person and include all the forms with the payment.

Choose one:

____Check enclosed for $_____________ to the Vermont Council on Reading.

____Purchase order # _______ for $________ enclosed to the Vermont Council on Reading.

NOTE: There will be absolutely NO refunds. You may substitute another individual if you are unable to attend.

All registrations must be received by May 1, 2015. Confirmations will be sent electronically, after a few days.

Please print your confirmation and bring it to the conference with you.

Vermont Council On Reading Conference Page 3