2009-2010 MNFPSP District Registration Form

REMINDER: Registrations and fees are DUE by 15 October 2009. NOTE: This is EARLIER than it has been historically!

District Contact Name:

Contact Type (Select One):

District Name:

District Number:

Office Location Name:

Address:

City:

State:

Zip Code:

School Phone:

Home or Cell Phone:

Email Address:

Registration Type (Select One):

Purchase Order or Check Number:

If the invoice needs to be sent to another email address, please enter it here:

NOTICE: If you click "submit" and nothing happens (or it seems to return you to the top of the form, with all your data still there), check the form to make sure you have filled in or made a selection for EVERY part of the form). If that does not resolve things, check to see if there are any error messages at the top or bottom of the form to guide you. If things still don't work after that, please let me know.

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