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LA Workshop Registration Form

To register, you must be deaf, hard of hearing, or a secondary school teacher of the deaf who knows sign language, and a resident of the Greater LA area.

 

Fields with * are required.

I want to attend the following workshop in the LA area:

Introduction to LibreOffice
4-day workshop, March 5-8, 2012
PUENTE Learning Center
501 S. Boyle AVe

Los Angeles, CA 90033

I am: (Check all that apply)
Deaf or hard of hearing
A secondary school teacher of the deaf who knows sign
A resident of the Greater LA area

*First Name *Last Name
*Address 1
Address 2
*City *State *Zip
*Email
Home Phone
Voice TTD
*Job Title
*Company Name
*Company Address
*Company City State Zip
Work Phone
Voice TTD