Anytime Anywhere Learning Registration Form

Handheld Teaching and Learning Conference
A Conference for K12 Teachers and Administrators
Registration Form

Workshop #1614: February 11, 2004
Registration Due Date: January 30, 2004. Participation is limited.

Name: (First, Last) _________________________________________

Home Address ____________________________________________

City/State/Zip _____________________________________________

Home Phone ______________________________________________

School/Agency Phone _______________________________________

School/Agency Name _____________________________ Grade ____

E-Mail __________________________________________________

Workshop Cost: $75 (includes continental breakfast and lunch)

There are FIVE ways to register for Workshop #1614:

Mail registration form and payment to:
Wayne RESA, Attn. Event Services
33500 Van Born Road, P.O. Box 807
Wayne, MI 48184
Fax registration to 734-334-1622*
E-mail message to events@resa.net*

Log onto resa.net
Click "Learning Services and Resources"
Select "Professional Development"
Make your selection
- View the workshop schedules by month before registering
- Register Online
A workshop confirmation can be printed upon registration completion.

Payment Method: (Registrations will not be processed without payment enclosed.)

Check (payable to Wayne RESA, enclosed)

P.O.# __________________

*Faxes and e-mails must have confirming Purchase Order #