Please fax to (301) 725-6148
to reserve your spot immediately then mail P.O. or payment to arrive no later
than 10 days prior to event to avoid late fees.
Make checks or Purchase Orders (PO) payable to: AT:LAST, Inc.
| Mail to: | AT:LAST,
Inc dba MD AT Co-op Attn: TRAINING PO Box 428 Savage, MD 20763 |
Please complete one registration form per person.
Check the appropriate qualifying box below and fill in the payment amount(s)
indicated in the workshop description.
 |
Employed by a Maryland education facility | $ _____________ |
|
Para-professional employed by a MD education facility | $ _____________ |
|
Maryland parent of a student with special needs | $ _____________ |
|
Out-of-state registrant | $ _____________ |
***Confirmations e-mailed or faxed ONLY, unless stamped self-addressed envelope enclosed***