Business Training Registration Form

REGISTRATION FORM

SCHOOL BUSINESS FISCAL TRAINING AND SUPPORT PROGRAM
(Please type or print clearly)

SCHOOL DISTRICT OR FIRM: _____________________________________________________

Address: _________________________________________

City/State/Zip Code: _________________________________________

Phone (           ) __________________ FAX (           ) ______________________
Contact E-Mail _______________________________________________
Name ____________________________ Title ______________________________
Name ____________________________ Title ______________________________

Location Areas: Albany - - Binghamton - - Rochester - - Syracuse - - Utics - - Watertown

Preferred location area: ______________________________________
          NOTE: meeting sites are selected based on participants - to minimize travel

Costs:
One Person for One Year (10 sessions) - $900 (free make-ups in the following year)
Two or More Persons for One Year - Per year (10 sessions)
         - $800 per person (free make-ups in the following year)
One Person Any One Session - $100
                                      TOTAL AMOUNT: $ __________
METHOD OF PAYMENT:
Check or purchase order enclosed # _______________ to "Educational Support Services"
FAX to: (716) 672-5472, THEN mail original to:
Dr. James M. Merrins, Executive Program Administrator
Educational Support Services
42 Rosalyn Court; Fredonia, NY 14063Details:
The registration fee includes program materials each session day.

Registrations will be reserved on a first-come, first-serve basis.

School districts or firms may substitute participants at any time at no charge.

QUESTIONS: State Office (716) 672-5473
On the web at www.SuperintendentOfSchools.com