Dates: Second Saturday of every month on the following dates unless otherwise noted:
August
13, 2005 January
21, 2006 (3rd Saturday)
September 10,
2005 February
11, 2006
October 15,
2005 (3rd Saturday) March
11, 2006
November 12,
2005 April
8, 2006
Name:____________________________________________________________________
Address:__________________________________________________________________
City, State, Zip Code:________________________________________________________
Home Phone:_________________________ Work Phone:__________________________
Reason for your interest. Please be as specific as possible: __________________________
_________________________________________________________________________
_________________________________________________________________________
Please schedule me for my workshop on:__________________________ (Enter date)
Level of Instruction: (Space is limited to 20 participants per workshop).
_____ Beginning _____ Intermediate
_____ I am interested in Cued Speech transliterating (interpreting) in a school setting.
The registration fee is $75.00 per person per
workshop.
AEHI - Workshop Registration
2020 E. Camp McDonald Rd.
Mount Prospect, IL 60056
Voice\TDD: 847-297-3206 Fax: 847-297-3208
Email: info@aehi.org
Registration and payment must be received 14 days prior to the scheduled workshop. Fees are non-refundable.
Do not write below this line. For office use only.
Registration recÕd________________ Check #__________ Amount___________
(Mail this page to AEHI at above address)