IPEL Statewide Early Learning Plan next steps - Feb. 20th

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* 1. Your name (as indicated on valid ID)

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* 2. Representing/Tribe

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* 3. Cell phone contact

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* 4. Departing from (City + Zip Code)

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* 5. One-way mileage from your location to event (Map Quest or Google Maps)

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* 6. Do you need hotel accommodations? *You will be required to provide a credit card at check in for incidentals

Yes

No

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* 7. Do you need flight reservations?

Yes

No

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* 8. Date of Birth (Required for flight reservations)

Date / Time

Date

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* 9. Drivers License # (Required for flight reservations)

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* 10. Any other information you think would be helpful