|
|
|
PIONEER TEACHER CENTER and PIONEER DISTRICT COURSE REGISTRATION FORM Name_________________________________________ Building______________________________Home Address________________________________________________________________________ ___________________________________________________________________________________ Home Phone_________________________ School/Work Phone________________________________ Course Title_____________________________________ Course dates __________________________ Fee enclosed____________________ (Payable to PIONEER TEACHER CENTER) Inservice Credit: Yes ( ) No ( ) Number of hours _______________________ Please attach your registration fee and return to: PIONEER TEACHER CENTER P. O. BOX 619, Yorkshire, NY 14173 (Telephone: 492-9386) A SEPARATE CHECK IS REQUIRED FOR EACH COURSE REGISTRATION |