PenSPRA 2020 Symposium Signup Form

PensPRA 2020 Symposium Registration

Please fill out the form below to sign up for the PenSPRA Symposium. You can pay by mailing a check to the address below, or you can pay by credit card. If you would like to pay by credit card, instructions on how to pay will be emailed to you at the email address you provide below. All fields marked in bold are required.
PenSPRA
c/o Chester County Intermediate Unit
455 Boot Road
Downingtown, PA 19335
Phone: 484-237-5731
PenSPRA Member Symposium Fee: $195.00
Non-Member Symposium Fee: $225.00
Each Additional Attendee From the Same Organization (member or non-member): $175
Are you a PenSPRA Member?  
Will you be attending Thursday afternoon's lunch?  
Will you be attending Thursday night's  
Opening Reception and Award Ceremony?  
Will you be attending Friday morning’s breakfast?  
Will you be attending Friday afternoon’s lunch?  
If you have any food allergies, please list them here:  
How many additional attendees are you  
bringing from your Organization?  
(please do not include yourself)  
Your Name:  
Title:  
School District/Organization:  
Address:  
Addr Line 2:  
City/ST/Zip:    /  / 
Phone #  
Fax #  
Email:  
Discount code for referring a new PenSPRA member (if applicable):     (10% off total price)
Symposium Fee:  
Please review the above information to make sure it is correct. When you click 'Continue,' a confirmation email will be sent to you. After submitting your form, you will be given a payment link in order to pay by credit card. The confirmation email will also contain the payment link. You may also mail a check made out to PenSPRA to the address above. Please contact us at [email protected] for assistance, or call the phone # at the top of this form.
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