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2015 DC/MD Chapter AER Annual ConferenceJointly sponsored with The Maryland State Steering Committee for Programsfor the Blind and Visually ImpairedRegistrationLocation: Columbus Gardens, Baltimore MarylandThursday, February 26, 20157:15 a.m. 5:30 p.m.(Registration & Continental Breakfast - 7:15 to 8:30 A.M.)InformationName______________________________________________________________________________Address________________________________________________________________________City ______________________ State____________ Zip Code ___________________________Telephone (H) _______________________ (W) ______________________________________(Cell) ___________________________ Email: ________________________________________Agency/OrganizationSchool/Organization______________________________________________________________Position________________________________________________________________________Make Check out to: DC/MD AER $80 AER members and $120 non AER members Amount Included $__________Concurrent Sessions: Please select preferred session:AM Sessions10:00 11:00am Session ___1 ___2 11:15 12:15am Session ___1 ___2PM Session3:30 4:30pm Session ___1 ___2Accommodations will be provided upon request. Please specify:____ Large Print ____Braille ____Electronic ____Dietary:____________________ Deadline for Registration: February 20, 2015 Please mail completed form to: The Maryland School for the Blind, OutreachDepartment, 3501 Taylor Avenue, Baltimore, MD 21236 ATTN: Victoria WattPhone: 410-444-5000 ext. 1249 FAX: 410-319-5708 Email: victoriag@mdschblind.org |