.:Registration 2006:.

10th Annual Dual Language Symposium
Date: July 27^th -29^th, 2006

Puerto Rico

Registration Form

Mail in registration with your check, cashiers check or purchase order for $1000.00 per person. (covers registration fee, conference materials, research materials (CD), transfers airport-hotel-airport, 3 days- 2 nights lodging at the luxurious all inclusive
PARADISUS RESORT).
Make checks payable to: International Educational Consultants. Registration must be postmarked July 10^th, 2006.

General Information: Please Print and use Black Ink or Type. Keep a copy for your files.

Last Name, First Name, M. I.

Title:

Organization/School

Address pWork pHome

City, State, Zip Code

Telephone (work) (home)

E-mail (work) (home)

Fax (work) (home)

Method of Payment: (All registration forms must include payment or copy of Purchase Order)

p Check p Purchase Order p Cashier Check

Signature:

Please Mail: International Educational Consultants, Inc

1870 College Drive

Baton Rouge, LA 70808

1-888-ENTHUSE or 1-88-TO-GIFTED Fax: (225) 209-3444

e-mail: naguirre@ieconsultants.org or nehdez@charter.net