February 21, 2004
FAX, Mail, or Email registration information by February 16, 2004.
* See note below.
| Full Name: | |||
| Home Address (H or W): | |||
| City, State: | |||
| Phone (H or W): | email: | ||
| SS#: For ACT 48 reporting only. |
|||
| PSLA Member? (Circle one) YES NO | |||
| Act 48 Credit: | ||
| The above information is needed in order to process ACT 48 credit. A certificate will be provided at the workshop for 3 hours. | ||
| Send registration to: | ||
|
Reed Williams % Shady Side Academy 423 Fox Chapel Road Pittsburgh, PA 15238 |
Email: rwilliams@shadysideacademy.org |
FAX: 412-968-3004 |
| Contact Reed Williams: 412-968-3073 (W) |
||
|
* |
Please be advised that the PSLA Board of Directors has passed a resolution charging a $10.00 registration fee to non-PSLA members. Please make check payable to PSLA and send with your registration. |
Return to Winter Workshop
Return to WPSLA home page.
Contact Rich Hollein at holleinr@qvsd.org for more information about WPSLA.
Prepared by Linda Herward 1/22/04
Contact Linda Herward at
lherward@comcast.net