ACTE Conference Refund Request

Postmarked on or Before August 13

Please attach a copy of Your Registration Form

 

 

Text Box: School’s Name: Street Address: City and Zip: School Contact Person: Contact Person’s Phone Number: Contact Person’s Email Address:

 

 

 

 

 

 

     

                                                      

 

 

 

 

 

Name:

 

Street Address:

                                                   

City and Zip:

 

Phone Number & Email Address:

 

ACTE Member Number:

 

 
 
 

 

 

 

 

 

 

 

 

 

Mail to: Arkansas ACTE, 2105 West Union Street, Bald Knob, AR 72010

 

 


To be filled out by school personnel only.

 

Please make check payable to:   _______________________________________

The reason for this request is:

 

 

 

 

 

Authorized School Personnel Signature, Title and Date

 

 

 

 

 

 

 

Refund request will be addressed at the Fall AR ACTE Board Meeting.