Professional Documents
Culture Documents
WORK INFORMATION
Please select your approved Group Code:
Job Title: DIRECTOR OF STEM
Email: eddie.nemec@gcssk12.net
PAYMENT INFORMATION
Day Phone: 678.520.9649
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Attendee Registration 10/13/16, 10(01 AM
Cell*: Cancellation Policy: All cancellations and requests for refunds must be
made in writing and received by October 7, 2016. No refund requests will
be honored after this date. Requests may be emailed to
Home Addr1: gaetcreg@mcraemeetings.com or mailed to the address below. All
508 OAK ST
cancellations will be subject to an administrative fee of $25.
OTHER INFORMATION PURCHASE ORDER - Select this option and include the purchase order
number and billing information in the fields provided. An invoice will be
mailed to the billing organization.
DEMOGRAPHICS (please check one box in each
category) CHECK - Check payments MUST be mailed by Oct. 7 for registration
to be valid! If paying by check please make payable and mail as follows:
Position: GaETC Registration
Instructional Technology Specialist 1401 Maclay Commerce Dr
Tallahassee, FL 32312
PREPAID CODE - Please use this payment option only if you were given
Level: a valid prepaid code by your organization and you selected it above.
This option is NOT for purchase order numbers.
District Level
GaETC may provide the names, work addresses, and email address of its attendees to a Address:
limited number of sponsors and exhibitors. Their support is vital to the conference and 508 Oak Street
assists in reducing the registration costs. GaETC never releases attendees telephone,
fax number or payment information to any other persons or organizations. If you DO
NOT wish to receive these hard copy mailings, please check the box above.
City/St/Zip: Gainesville GA 30501
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Attendee Registration 10/13/16, 10(01 AM
Do you have any special needs? If so, check below: Authorizing lynn.pugh@gcssk12.net
I require special assistance covered under the Supervisor:
Americans with Disabilities Act. You will be contacted (if necessary)
concerning arrangements.
For Purchase Orders Please Include:
Purchase Order #:
0000
Submit Registration
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