Institutional Training for ACEI/NCATE Program Review Process for Elementary Education Programs
Registration Form

Name of Institution:________________________________________________

Mailing Address:__________________________________________________

Phone: ______________________________

Registrant's Name________________________ Title/Department__________________

______ Institutional Training ONLY
______ Institutional Training PLUS ACEI International Conference Registration

Registrant's Name________________________ Title/Department__________________

______ Institutional Training ONLY
______ Institutional Training PLUS ACEI International Conference Registration

Please attach a list if you wish to register additional participants

• Registration for ACEI/NCATE Institutional Training ONLY: $475 each for the first 2 registrants, $1,000 for teams of 3-12. per registrant

• First 2 registrants for ACEI Institutional Training + Conference: $625 each; additional registrants for ACEI Institutional Training + Conference: $575 each

Total Amount $_____________

___ Check (payable to: ACEI)

___ Purchase Order #_________________

Charge the following Credit Card ___ VISA ___MasterCard

Card Number ______-______-______-______ Exp. Date______

Signature (required for Credit Cards) ________________________________

Send to: Association for Childhood Education International, 17904 Georgia Ave., Ste. 215, Olney, MD 20832-2277
-OR- FAX with Credit Card information to 301-570-2212.

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