12th Annual Moanalua High School Professional Development Conference
Please fill in the form below completely. Registration is not complete until payment has been received by Moanalua High School. Late registrants are not guaranteed all conference materials.
Saturday, April 20, 2013<br />8 am - 3 pm<br /><br />Moanalua High School<br />2825 Ala Ilima St<br />Honolulu, HI 96818
Group Contact or Individual Registrant's Name
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If you are registering as a school or group, please upload an excel file with the following: Last name, first name, position, e-mail, number of MoHS PD conferences attended and conference role (see options below)
If you are registering as a school/group, please upload your excel (xls-2007 or earlier version) or word (doc/docx) file here:
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E-mail
*
Phone Number
-
Area Code
Phone Number
Conference Role
*
Regular Attendee
MoHS Faculty
Presenter
Number of MoHS PD Conferences attended:
Registration will be complete when payment is received. Please send in payment to <br />Moanalua High School <br />Attention: Judy Tateyama <br />2825 Ala Ilima Street <br />Honolulu, HI 96818 <br />with a copy of this registration form. Please use the PRINT FORM button below.<br /><br /> We do NOT accept Purchase Orders. If schools would like to pay, please use Direct Payment Vendor #100065. Be sure to send Vendor Payments a COPY of this form.<br /><br /> Checks should be made out to "Moanalua High School." Cancelled checks will be the receipt of payment.
Total Attendees
*
Registration Fee: select the appropriate option.
Early Bird Registration Fee-postmarked by Jan. 18, 2013 $50.00 x __
Regular Registration Fee-postmarked by March 29, 2013 $75.00 x __
Late/Walk-in Registration Fee $100.00 x __
Individual Conference Presenter (fee waived)
Moanalua High School Faculty
Total Amount Due
*
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