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Deadlines for TAS 2006 registration is December 5, 2006.

Please print out and complete the form below and choose in order of preference, the three seminars you would like to attend. When completed, return this form no later than December 5, 2006 to the contact person in your district. Participants will be notified of their seminar placement by January 29, 2007.

In the space below, please list in order of preference any three seminars you wish to attend.

Name:__________________________________________________________

Home Address:________________________________________________________

School/Department:_______________________________________________

Grade Level/Content Area:__________________________________________

Telephone (Daytime):_______________________________________

Telephone (Evening):_______________________________________

E-mail address:____________________________________________________

In the space below, please choose any three seminars you wish to attend,
in order of preference.

#1 ___________________________________________________

#2 ___________________________________________________

#3 ___________________________________________________