14th Annual Literacy Essential Conference
April 25,2020 • CCSU Alumni Hall/Student Center • INDIVIDUAL REGISTRATION
Name
*
First Name
Last Name
Email
*
example@example.com
School/Employer & District
*
I am a CCSU Student
*
Yes
No
Date
*
-
Month
-
Day
Year
Date
subtotal
REGISTRATION FEE INFORMATION (includes breakfast and lunch)
Early Bird Registration by February 15, 2020
$ 70.00
Registration after February 15, 2020
$ 90.00
Presenter/Co-Presenter Registration
$ 60.00
CCSU Undergraduate Registration ($30 vouchers available)
$ 50.00 ($20.00)
Total
Submit
Should be Empty: