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Welcome to the 2009 Seminar Registration Page!

Registration for the Fall, 2009 Seminar is fast and easy. We accept checks and school system purchase orders, so, if you are registering with a P.O., please have that information handy. Also, we will ask you for both your school contact information as well as the central office billing information if using a purchase order. Taking a moment now to gather that information will be very helpful.

Fall, 2009 Seminar Series Registration Form

Please Select Seminar Location/Date

Title
First Name	M. Initial Last Name
Function:
School District (Name):
School Name:
Grade level(s):	Elementary K-6 Elementary - K - 12 Middle - Traditional (6, 7, 8) Middle - Other (7-8) Secondary School (6-12) High School
E-Mail #1:
E-Mail #2:
Telephone #'s Work:	Cell: Other:
Mailing Address 1:
Mailing Address 2:
City:	State: Zip:

Payment Options:	Purchase Order (PO) School/District Check Personal Check
Purchase Order Information:	PO #: PO Issue Date:
Check / PO Information:	Check # PO/Check Amt ($):

If on P.O. - District/School Name:
School/District Billing Address 1
Billing Address 2
Billing Address City	State: Zip:
Billing / Accounts Payable Contact:
Accounts Payable / Telephone #:	E-Mail Address:

Please check areas of interest to be added to e-mail:	Publications Seminars Consulting Services Standards Based Testing Principal's Discussions Classroom Considerations Superintendent's Discussions

	Important NOTICES: Enrollments billed to purchase orders cannot be confirmed until MSI receives purchase order confirmations. Please FAX copies of registrations and purchase orders to 443/267-0073. Checks and paper forms (including registrations) should be mailed to: Merenbloom Seminars, Inc. Attn: Seminar Registrations \|\| Fall, 2009 Series \|\| 7 Elm Hollow Court \|\| Baltimore, Maryland \|\| 21208-1845 Make checks and purchase orders payable to: Merenbloom Seminars, Inc. Prefer an On-Site Seminar? On-site seminars work well for groups of five or more and can accommodate large (20 or more) gatherings as well. For available dates and additional information on how Merenbloom Seminars & Consulting can help your school/district, please click HERE to E-Mail or call 410/486-6822. Office hours are Mon-Fri, 8:30 am - 5:30pm, eastern time.


	Please Click the SUBMIT button to complete your registration

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