REGISTRATION FORM
Make checks or purchase orders payable to MOESC-R.P.D.A. and mail to the address
in
No Charge for Collaborative Members
Monmouth-Ocean Educational Services Commission
Payment Policy for Non-Collaborative Members - No Refunds – Check or Purchase
Order must be received before the date of the seminar.
$75.00 per person for Non-Collaborative Districts (non-refundable).
Registration must be received at least seven calendar days prior to the date of
the seminar.
Fax your registration forms
732-380-1392. A registration number
will be e-mailed to each participant.
YOU MUST HAVE A REGISTRATION NUMBER IN ORDER TO ENTER THE SEMINAR.
PLEASE E-MAIL DEBBIE IF YOU DID NOT RECEIVE A REGISTRATION NUMBER AT
dberesford@moesc.org
Any questions, call Debbie at 732-389-5555. Ext. 1066
Seminars: 8:30 am. Registration & Coffee
9:00 am. –1:30 pm. Seminar Presentation
(Lunch will not be provided; you may bring a snack)
Name:_______________________________________ Position:_____________________________
School District_____________________________________________________________________
Home Phone:______________________________________________________________________
Home Email: (please print)___________________________________________________________
Date of Seminar: (put one date only per form) _________________________________________
NOTE –
If you are unable to attend the seminar,
please notify Debbie Beresford at
or email her at dberesford@moesc.org,
so that we may add an individual from the waiting list.