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IACTE Conference April 9 & 10, 2015
at Courtyard by Marriott Ankeny
2405 SE Creekview Drive, Ankeny, IA 50021
CONFERENCE REGISTRATION FORM
NOTE: Only 1 form needed per institution
Please fill in the appropriate details and submit using one of the following methods by
March 31st:
1) Mail: Deanna Stoube
St. Ambrose University-TEP *mailing registration with payment is preferred method.
518 W. Locust St.
Onsite payments will no longer be accepted.
Davenport, IA 52803
2) E-mail (mail payment in): [email protected]
3) Fax (mail payment in): 563/333-6028
Note: Walk-ins are still welcome & will be billed the total conference fee of $50, but materials/meals may not be
available.
Name of Institution:
Address:
Contact Person:
E-mail:
*Please check day(s) each person is attending, so we can plan for lunches/refreshments. Thank you.
Person Attending
April 9
April 10
REGISTRATION COSTS: $50/person for attending both days;
$30/person for attending one day only
Total Due: ____________
Make checks payable to IACTE
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