Sunday, April 20, 2014
phone: 914.948.2501
   
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NOTE: PLEASE SUBMIT A SEPARATE FORM FOR EACH PARTICIPANT /APPLICANT
First Name:
    Last Name:    
Name of School:  

Billing Street Address:

 
City:  
State/Province:
    Zip/Postal Code:    
Country:  
Email:  
Best Phone to Reach you:  
Fax:
Amount you are authorizing to pay:

For the July 24 "Pathways to a Peaceful School" Conference, select one morning workshop to attend:

Toddler
 Early Childhood A
Early Chldhood B
Elementary
Head/Director/Owner/Board Member 

 

A hot lunch will be served at the July 24th Conference. Please indicate your meal preference:

Kosher 
Gluten free 
Vegetarian 
Vegan 
Other 
Which program/course/conference are you paying for?

Upon submitting this form, you will be taken to a page on Authorize.net.
There, you will be able to enter your credit card information as well
as confirm that all your information is correct.

Center for Montessori Education|NY
785 Mamaroneck Avenue
White Plains, NY 10605

914-948-2501 (p)
914-597-2779 (f)

Our office hours are Monday-Thursday 9:30 am - 5:30 pm.
Please call to set up an appointment if you wish to meet with us in person.

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