AZ AER Fall 2023 Conference Registration

Registration

AZ AER Fall Conference

Thursday November 16 - Friday November 17, 2023

SAAVI Services for the Blind

Tucson, Arizona
Please note: Any registration received on or after November 13, 2023 many not receive a preferred meal option.
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Agency, Organization, or School District (if applicable)
I am a (check all that apply)*

TVIO&MCVRTAT SpecialistUniversity StudentAdministratorLow Vision SpecialistParaprofessional/IntervenerSpecial Education TeacherEarly Intervention TeacherOther
Accessible Format Preference:*

BrailleLarge PrintRegular Print
Please list any additional accessibility requests here:
Conference Preference*

Two-Day In Person $150.00Two-Day In Person Student rate $75.00Thursday: One-Day In Person $100.00Friday: One-Day In Person $100.00Virtual/Post-Conference recordings $75.00
Thursday's lunch will feature a sandwich or salad choice from Café 54 in Tucson. All meals come with a side of chips and a cookie. (Note: Lunch is provided with your registration.) Take a moment to learn about this unique local nonprofit and its mission here: https://www.cafe54.org/
What is your preference for Thursday's lunch?*

California Club: Turkey breast, bacon, avocado, tomato, mayo, and Swiss on sourdough breadChicken Salad Sandwich: Turkey breast, bacon, avocado, tomato, mayonnaise, and Swiss on a croissantMediterranean Sandwich: Roasted red peppers, marinated zucchini, squash, tomatoes, red onions, and goat cheese spread on a ciabatta roll (vegetarian)Spinach and Beet Salad with Salmon: Fresh spinach and frisée with roasted beets, candied pecans, red onion, and balsamic vinaigrette dressing (gluten free)Spinach and Beet Salad with hummus: Fresh spinach and frisée with roasted beets, candied pecans, red onion, and balsamic vinaigrette dressing (vegan, gluten free)
Friday's lunch will feature a boxed lunch from Tucson's very own Beyond Bread. (Note: Lunch is provided with your registration.) All meals come with chips and a cookie.
What is your preference for Friday's lunch?*

Turkey Sandwich: lettuce, tomato, provolone on rustic breadRoast Beef Sandwich: lettuce, tomato, provolone on whole grain breadVeggie Wrap: lettuce, tomato, hummus (vegan, gluten free)
Method of Payment*

Personal CheckPayPal Credit/Debit cardPO from Agency Listed AboveOther
Purchase Orders, or any questions regarding purchase orders or other forms of payment, can be emailed to Megan Mogan at megan.mogan@asdb.az.gov
Comments?
Total Cost
Conference Cost

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If you have any questions or problems with this form, please contact Megan Mogan

megan.mogan@asdb.az.gov
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Please note: Any registration received on or after November 13, 2023 many not receive a preferred meal option.