Native Innovation's 2013 Technology Leadership Conference “Digital Learning for the American Indian Student” June 27-29, 2013 Twin Arrows Navajo Casino Resort Flagstaff, Arizona CONFERENCE REGISTRATION FORM Name of School or Organization: Contact Person: Address: City:
State:
Phone:
Fax:
Zip:
Email:
Conference Registration Fee: Early Registration Postmarked by May 31, 2013
$200 Per Person $150 Students
Regular Registration after May 31, 2013
$300 Per Person
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If paying by credit card please call Jerome at 928.255.2200 for more information. We accept all major credit cards. Cancellation Policy: Non-refundable $100 per person. Cancellation request can be emailed and must be received by May 31, 2013, no exceptions. Substitutions are accepted. Please fax (877.511.2342) or mail completed registration form with payment or Purchase Order to: Native Innovation Inc, 3170 Kweo Trl, Flagstaff, Arizona 86001
For more information, contact Jerome at 928-255-2200 –
[email protected] or LaVelda at 928-514-0378 –
[email protected] www.nativeinnovation.us
