NC DPI NCWISE 2010 Symposium Registration ~~ Welcome ~~
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Registration is not complete until a copy of the registration information and payment is received by the NC DPI Cash Management Office.
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Today's Date
Organization
Please FIRST Select Your Organization From The List Below ----- Note: fields flagged with a red asterisk are required.
Charter School Employee
DPI Employee
LEA Employee
School Employee
Other
First Name
Middle Name
Last Name
Title
. At Symposium, name badge will be created using names exactly as entered in above fields.
Phone Number
Extention
. Enter only 10-digits in Phone Number, i.e. 9193334444
Fax Number
. Enter only 10-digits in Fax Number, i.e. 9193334444
Email Address
. .
. . . . Budget Code
. official DPI use only
Special Needs: Wheel chair, Special diet, Etcetera >>>>
If there are problems or questions please contact the Help Desk: (919) 807-4357 or email: help@dpi.state.nc.us
