Name of School Corporation:  

Contact Person:         Email Address:

Please indicate with an X the site for attendance:

Crown Point       Fort Wayne        Scottsburg       Connersville       Crawfordsville

Kokomo             Beech Grove      Brazil               Plymouth             Petersburg

Number attending at $80 per person                                                 Total $

Number of additional Manuals   ($50 each)                                        Total $

Total amount to be paid to ISBA                                                                    $

Submit List of Attendees and Title:

                   Name                                                              Title
                
                
                
                
                
                
                
                
                
                
    Cancellation requests must be submitted by email to Linda Strauss at lstruass@isba-ind.org at least 5 business days before the meeting to avoid the registrants being charged.  Cancellations will be confirmed by a return reply.  After the deadline, no refund of registration fees is granted; however, substitutions and name changes may be made.  Refunds will be made after the meeting.

Bill corporation                 Amount due  $