AT:LAST June 25th Registration TEXT ONLY

Your registration is not complete nor guaranteed unless payment is made at the time of registration. Your seat will be forfeited if payment, purchase order, or other official notification is not received one calendar week before the workshop date. There are no exceptions. An email reminder will be sent approximately ten days before the workshop; however, if you do not respond, your seat will be forfeited. If you paid for the training but are unable to attend, you are welcome to send a substitute in your place. Please notify us if this will occur.

A $25 administrative fee will be assessed for any cancellation for notice given more than one calendar week prior to the workshop. No refunds will be given for cancellations made within one calendar week of the workshop.

Pre-registration fees, if collected, are refundable ONLY if the MD A.T. Co-op receives written (or email) notice of your cancellation at least one calendar week before the workshop. In the case of “make and take” workshops, the materials fee plus $25 will be assessed.

Failure to attend a training for which you have registered is NOT considered a cancellation, and full payment will apply. No refunds will be given.

The Co-op reserves the right to cancel any workshop in which case a full refund will be issued.

Mailing Address for Payment
AT:LAST Inc.
P.O. Box 428
Savage, MD 20763

Please make checks payable to: AT:LAST, Inc.

If you would like to receive email notices of the MD AT Co-op's upcoming workshops and special sales, please email training@matcoop.org with the SUBJECT: "Sign me up!"

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Last Name
First Name
Email Address:
School System or Organization Name
Position OR Family Member
Preferred address
Preferred Address City, State, Zip
If professional, in what county do you work? If parent, in what county do you live?
Work or Cell Phone
Home Phone (in case of inclement weather)
If no e-mail available,provide a number where you can receive a faxed confirmation.
Are any special accommodations needed? (Must receive notice 10 days prior to event)
I will be mailing	a personal check an institutional check a purchase order or using PayPal
My interest in this topic is as	an individual with disabilities a family member of a person with disabilities a service provider an employer
How did you hear about this event?
REQUIRED!	I have read and agree to the Cancellation Policy as stated in the Training Section of the AT:LAST, Inc. website.
When you click "Submit" your reservation form will return to our website. Before you go, are there any other training topics you'd like us to sponsor this year?