5th Annual Summer Institute in Assistive Technology
May 28 - 30, 2008
Registration for Summer A T Workshop
Home Workshop
Descriptions
Schedule
and Locations
Registration CEU Credit and
Contact Info
*Name  Title

Agency, Organization or Company 

Profession or Job Title

*Email Address

*Mailing Address (Street/PO Box)

*City *State   *Zip

*Phone( ) If OVR is payor, Please indicate here
*Please Select (Check) the Workshops You Wish to Attend:



Day One



Day Two



Day Three

Payment

Full Conference = $110 ($100 if pre-paid by April 30, 2008)
Single Day = $50
One Half Day = $30 (pre-conference session is free)
This event is free to all consumers
Contact Kathy Sheppard-Jones at 859-257-8104 for more information

Send either check or institutional purchase order to:
Kathy Sheppard-Jones
Human Development Institute
University ofKentucky
210 Mineral Industries Building
Lexington, KY 40506-0051

         Note: Make check out to "University of Kentucky" and be sure to include your name(s) with the payment

         Accommodations - Please check here if you require any accommodations

         Please describe the accommodations required

         CEU - Please Check here if you wish to acquire RESNA or other CEU

         Lunch will be provided for those attending one or both days of this event

* = Required Information
Enter the code shown: