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2012-2013 Workshop Registration- Sept 27

1. Florida Literacy Coalition Workshop Registration

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* 1. Please select which workshop you would like to attend:

December 1: Tutor Symposium, Palm City

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* 2. Please complete the following contact information.

First Name: *

Last Name: *

Company:

Address:

City/Town:

State:

ZIP/Postal Code:

Country:

Email Address: *

Phone Number:

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* 3. I would like to receive the E- Newsletter.

Yes

No

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* 4. I would like to be added to the Literacy in Florida email list to receive news and funding information.

Yes

No