16th Annual Teaching Learning Conference

Registration Form

Salutation:

First Name:

Last Name:

Email:

Phone:

Institution Name:

Position Title:

Address:

Address, cont.:

City:

State:

Zip:

Registration Type: Full Conference Student

The registration fee of $99 includes program materials, continental breakfast, lunch and refreshment breaks.

DEADLINE for registration is October 1st. No refunds will be granted for cancellations after October 10th.

Please mail registration fee to:

Ashland Community & Technical College
ATTN: Kim Minnehan
1400 College Drive
Ashland, KY 41101

Checks should be made payable to CTCFA (Community & Technical College Foundation of Ashland, Inc.)

For more information regarding registration or to pay by phone using a credit card, please call Kim Minnehan at 606-326-2071.