Co-sponsored by the Western New York Foreign Language Educators' Council (WNYFLEC)

March 5
Nazareth College
Otto A. Shults Community Center
Rochester, NY

Paper Registration also available

Step 1 - Participant Information
Required fields      
Last Name    
First Name    
Street Address
City    
State      
Zip
Home Phone      
E-mail*    
* please note that those with an AOL e-mail address might experience some difficulties with submitting their information. If you are unsuccessful, please use the paper form. Thank you!
School Affiliation    
Language(s) Taught

REQUIRED

OPTIONAL

OPTIONAL

 
Level(s) Taught

REQUIRED

OPTIONAL

OPTIONAL

  

Step 2 - Registration Information
(lunch is included in registration price)
Not a member? Join NYSAFLT! or Join WNYFLEC!
     
Member
(NYSAFLT or WNYFLEC)		 $70 Membership Status:

 Member of NYSAFLT
Member of WNYFLEC
Not a member of either
Non-Member $70
Student member
(full-time, with ID)		 $70    
NYSAFLT Membership/Renewal
Regular $45
Associate $35
Retiree $25
Student $15
Not at this time.		    
         
 Please check here if you prefer gluten free (coffee break and lunch).
Please check here if you prefer vegeterian (coffee break and lunch).		  

Photographs and videos taken at NYSAFLT events may be used for promotional purposes in NYSAFLT publications and/or social media. Please check the box if you would like to “opt out” and DO NOT want your image used for such purposes. We ask that you also identify yourself on-site to any NYSAFLT representative taking photographs or videos.


Step 3 - Payment

Please note there are NO refunds after February 24, 2016. Thank you.
Payment by school district Purchase Order
If you are registering by PO, you must enter the PO# here: .
Please mail or fax the PO upon completion of this form in order to complete your registration.
Payment using Paypal
If you select this option, please make sure to click on the PayPal link in the confirmation page to finalize your payment. Registration will not be finalized without a completed PayPal payment.

Total to charge (see section #2) $
Please remember this number for PayPal shopping cart check out.

Comments:

 

After you click submit, you will see a confirmation page. We encourage you to print that page out for your records.

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