2002 CCEA State Conference Registration Form

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2002 CCEA State Conference
FIESTA AT THE BEACH
April 26-28, 2002
Costa Mesa Hilton Hotel
3050 Bristol Street
Costa Mesa, CA 92626
1-714-540-7000 or 1-800-Hiltons
Please request special CCEA group rates by April 11th

Teacher of the Year
Exciting Workshops
Exhibitors

Exemplary Programs
Model Schools
Student Art Exhibit

Networking
President’s Reception
Legislative Update

Qualifies for categorical funds: SB 1882, SIP, Title I, GATE, Eisenhower, SB 813, Literacy/Reading Improvement, Etc.

$230	CCEA Member (Professional or School) - Full Registration (includes Friday dinner, Saturday lunch, Sunday brunch)	$_______
$275	Non-Member - Full Registration (includes Friday dinner, Saturday lunch, Sunday brunch)	$_______
$200	CCEA Member (Professional or School) - Partial Registration (includes Saturday lunch, Sunday brunch)	$_______
$245	Non-Member - Partial Registration (includes Saturday lunch, Sunday brunch)	$_______
- $10	Professional Member Discount - Membership #________	- $10
	*Total Registration Cost (Payment Included)*	$_______

Method of Payment

o Check:      Check Number
o Credit Card Payment:
      Circle one: Visa | American Express | Master Card | Discover Card:
      Card Number                                                                  Expiration Date
o Purchase Order:      P.O. Number                                           Please include a copy of the P.O.

Participant Information (Please Print)
Name_____________________________________	School___________________________
School Address _________________________________________________________________
CCEA District Number (Please circle one) I II III IV V VI VII VIII IX X XI XII	Your e-mail address: _________________________________

Return to Victor Whitaker, 4648 Natalie Dr., San Diego, CA 92115
or use our Online Registration Forms