Georgia Council for Exceptional Children

Member Registration

GCASE and GACEC are offering $50 scholarship to the first 200 registrants for whom payment is received! Register early and use PayPal to be sure to be one of the first 200!

Conference Dates: Feb, 24-25, 2012
Macon Centreplex, Macon Georgia

Registratin Type	Pre-Registration Full Conference	On-Site Full Conference
Member	$115 ($65 w/ scholarship)	$145
Student Member	$65 ($15 w/ scholarship)	$95
Non-member	$165 ($115 w/ scholarship)	$195
Student	$85 ($35 w/ scholarship)	$115

STEP 1:

I would like to register as a Member:

CEC Membership # (required)
At Check-out you will given the option to pay by PayPal or to mail your payment to Attn: Dr. Suzanne Carter, 200 Double Springs Church Rd., Monroe, GA 30656. * Full conference registration includes the keynote address, all sessions, and all conference meal functions. Parking is at the Classic Center.

STEP 2:
Please complete the information below. All fields are required, but you may enter "N/A" if a field is not applicable, such as phone extension...

Your Full Name
Title
How will you be paying?		Check Paypal (will be available after you submit this form)
School System / College/ Agency
Billing address for Organization
Billing City, State, Zip
Email Address
Telephone (home)
Other phone (work)
Your Address

City, State, Zip
Country
Special Accommodations? (eg., Interpreter, Braille, Large Print, Special Diet, etc)
Your Questions