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You are registering for Family Leadership Summit 2008 - 4/12/2008

Please fill in the form in its entirety to ensure your registration.

Name:

Organization:

Address:

Address 2:

City:

State:

Zip:

Phone (w):

Phone (h):

Fax:

E-mail Address:

Do you currently sit on an IEIC?
Do you need a hotel room for Friday, April 24? If yes, PACER will contact you.
Rooms must be requested by noon, April 10.

How many miles will you be traveling?

Persons with Special dietary needs are asked to contact Judy Swett. 952-838-9000 or jswett@pacer.org

Other accommodations?

Visit PACER's other sites: National PTAC | Teens Against Bullying | Kids Against Bullying | FAST Family Support | Project C3 | FAPE | MN SEACs

Translated content: Hmoob/Hmong | Espaņol/Spanish | Soomaaliga/Somali

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