NADTC Online Course Registration

Title: ADA Mini Course: Boost Your ADA IQ!
Dates: March 20 - April 14, 2017
Instructors: Ken Thompson & Julie Dupree, NADTC

Respond to each of the questions below to register for the course. Additional information and course connection information will be emailed to you prior to the start of the course. Please note that one registration is required per participant.

Question Title

* 1. Provide your contact information.

Name (first and last): *

Email Address (double check for accuracy to ensure you receive connection information): *

Company:

Job Title:

Address:

City/Town

State/ZIP

Country/ZIP (International):

Phone Number:

Question Title

* 2. You will be provided with electronic copies of all materials required for participation in this event. Do you require an additional accommodation to participate? If yes, please provide detailed information of your accommodation request in the space to follow :