7/26/2019 2016 Fall Expo Registration Form Final

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what works for your child, is what makes the choice right

Arizona Hands & Voices and Arizona State Schools for the Deaf and Blind

2016 Fall Expo Registration Form

We are thrilled to invite you and your family to attend our Fall Expo. This will be great opportunityfor you to attend classes and meet local and national vendors related to the Deaf and Hard of

Hearing community. The Expo will be held at:

The Black Canyon Conference Center, 9440 N 25thAvenue, Phoenix, AZ 85021 on Saturday,

October 15th, 2016. Registration begins at 8:00am and the event ends at 4:00 pm.

Fax this form to 602-296-0425 or Email toexecutivedirector@azhv.org

Full Name: ___________________________________________________________________

Address: _____________________________________________________________________

City: ______________________ State: ____________ Zip: ___________________________

Phone: _________________________________ Email: _______________________________

Attendee Type & Pricing: (Continental breakfast and lunch will be provided for each registeredparticipant.) ***All registrations include 1 year free membership to Arizona Hands & Voices.

Parent Fee: $25.00 ______

Same Family Fee-2 Adults: $40.00 ______ (Add $5 extra per person over 13 in same family)

Professional Fee: $40.00 ______

**Scholarships may be available to families that demonstrate a need. Call for more information.

Children under 13 free, and childcare will be provided during classes for toilet trained children.

Yes children ________ Ages of children _____________________________

Total number attending: __________

Interested in sponsoring a family? Enclosed is $__________

Mail check or money order to:

Arizona Hands & VoicesPO Box 30163, Phoenix, AZ 85046

orFor credit card payments log ontowww.azhv.orgto pay by Paypal.

Special Accommodations need to be requested by September 30thor cannot be guaranteed.

List communication or dietary needs here:________________________________________________________________

mailto:executivedirector@azhv.orgmailto:executivedirector@azhv.orgmailto:executivedirector@azhv.orghttp://www.azhv.org/http://www.azhv.org/http://www.azhv.org/http://www.azhv.org/mailto:executivedirector@azhv.org