Charter Schools Rock School Contract

SATURDAY AUGUST 16, 2014|2-5PM|Atlantic Station

We are providing a total of 15 tables to Member Schools to meet the increased demand! Tables are offered on a first-come-first served. Act quickly!

Contact:
-Rashaun Holliman rholliman@gacharters.org 404-835-8910 office, 614-937-2190 cell

2014 Charter Schools Rock Fees:
• GCSA Member Schools - FREE TABLE
• Non-Member Schools $300
• Education Related Non-Profit Organizations $300

YES! We’re in for Charter Schools Rock 2014!

Question Title

* 1. School Name

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* 2. School Information

School Address:

School Leader/ Contact Person:

Phone:

E-Mail:

Grade Levels Served:

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* 3. Who is staffing your table? (Two people are required from 2-5PM, they may be parents!)

Name:

Phone:

Email:

Name:

Phone:

Email:

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* 4. Is your school is interested in having a performing group, please provide the following information

Performing Group Name:

Group Leader:

Phone:

Email:

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* 5. Description of performance

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* 6. Any special needs/ Comment:

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* 7. If paying by credit card, please enter information below:

Type of card

Name on card

Card number

Expiration date

CVC Number

Billing address (no., street, city, zip)

Address, cont.

Amount to be charged