Administrator's Institute: An Institute Within a Conference

Administrator's Institute: An Institute Within a Conference Jun 25 and 26, 2014 Longwood University, Farmville, VA

Registration Fee: $150.00 for two days. This fee includes the cost of registration, meals, golf tournament and parking.

Deadline to register is June 10, 2014 and payment must be received by June 20th.

To pay for the Administration Institute, please complete this form then click on the "I Want to Pay Using My Credit Card" link below or submit all check payments to

Longwood University Office of Cashiering

201 High St

Farmville, VA 23909

*Checks must be made payable to Longwood University and a print out of this registration form MUST be submitted with the check payment*

NO refunds will be given after June 18, 2014. If you have registered and can not attend, please notify us by Wednesday, June 18 at 3:00 p.m. to cancel your registration and not be charged the registration fee.

*** For office use only: Banner Fund 11002 - E & G Deferred Revenue, Banner Account 22052 - Deferred Revenue - Education Workshops, Detail Code 1427 FRS 0-10000-2464 ***

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* 1. Please provide full name of registrant.

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* 2. What is the name of the School Division or Organization of the registrant?

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* 3. Does the registrant plan to play golf?

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* 4. If the registrant plans to play golf please list their handicap.

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* 5. Please name a person we can contact for questions.

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* 6. Please list the contact's mailing address.

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* 7. Please list the contact's phone number.

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* 8. Please list the contact's email address.

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