2010 CLTA-WA Spring Workshop Registration Form
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1. Default Section

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1. What is your full name (LAST NAME, FIRST NAME--example: Smith, Tom)?

What is your full name (LAST NAME, FIRST NAME--example: Smith, Tom)?

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2. What is your email address?

What is your email address?

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3. Will you be requesting clock hours?

Will you be requesting clock hours? Yes

No

4. Will you be needing a receipt of registration?

Will you be needing a receipt of registration? Yes

No

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