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Festival Registration
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Teacher Name
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School Name
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School Address
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Language(s)
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School Phone
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Home Phone
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Home Address
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Email
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***Are you planning on having your students eat on campus?***
Yes
No
Please fill in the blanks in the chart.
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Total number of
Students registering
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@ $6.00/student =
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Late
Registrations
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@ $8.00/student =
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AFLTA and SAFLA Teacher Dues
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Both mandatory if not paid since July 1, 2007.
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AFLTA $20.00
SAFLA $10.00
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TOTAL =
(mail check)
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Due Date: Postmarked by January 19, 2008
Mail Check to :
SAFLA Festival Registration
Attn: Michel Hallot
200 West Oak St.
El Dorado, AR 71730
Please print this page, and include a copy with your payment.
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