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2016 Regional Conferences
Preparing for ACCESS through Ongoing Formative Assessment


Online Payment and Registration

The form below is for those who are paying using a credit card or PayPal account ONLY.

Please fill out the form below and click "Submit."

When you see the registration information page, check the information to see if it is correct..
If you made an error, you can go back to this page to re-enter in the correct information and submit the page again, and we will delete duplicates.

Then click on the link to pay through PayPal with a credit card or PayPal account.

Please note, your registration will not be complete until have paid for it. 

Your PayPal receipt is the confirmation of your registration. Keep your PayPal receipt for your records.

*Required Information:
*First Name: *Last Name  
*Home Address 1:
Address 2:
*City: * State:     *Zip Code:  
*County of Residence:
Phone (H)    Phone (W) 
 *Personal E-mail:
School Affiliation/District

*Registration - must be received by 10:00 PM on the dates below

$65 - NJTESOL/NJBE Member (Membership must be valid through October 2016 or if you are renewing or joining at this time)

$85 - Non-Member (Not a current NJTESOL/NJBE member, or not joining at this time)


*Check the Regional conference you would like to attend.

Southwestern Regional Conference - October 15, 2016, Rowan University (Due October 10th)

Northern Regional Conference - Ocotber 29, 2016, William Paterson University (Due October 24th)

Southeastern Regional Conference - Ocotber 29, 2016, Stockton University (Due October 24th)

Please note, your seat will not be reserved until payment is received.
$20 Processing fee for cancellations -
No cancellations/refunds after October 10th for the Southwestern Conference, and October 24th for the Northeastern and Southeastern Conferences.
$10 Fee for changes in payment processing
Scholarship Donation
$5  $10  $25  $50 

The following section is ONLY for those who wish to join or need to update
NJTESOL/NJBE membership and are enclosing membership fees:

Membership Type: New
 Renewal
Cost: $35 One Year
$59 Two Years
E-mail list: Would you like your e-mail address added to the e-mail list? You will receive e-mail about employment opportunities, workshop and conference announcements, questions about state laws and standards, and more.
  Yes         No

Preferred e-mail address for the list (If you clicked Yes):

Special Interest Groups (SIGS): Please choose ONE or TWO numbers for the (SIGS) you wish to belong to:
   1. Early Childhood (Pre-K K)
   2. Bilingual Elementary Education
   3. ESL Elementary Education Grades 1-5
   4. ESL Grades 6-8
   5. Bilingual Secondary Education
   6. ESL Secondary Education
   7. Higher Education
   8. Teacher Education
   9. Special Education
   10. Adult Education
   11. Parent/Community Action
   12. Supervisors
First Choice     Second Choice
Expiration Date: Your membership expiration date is on the e-mail of the VOICES newsletter, which will be sent to you four times each year.

* NAME on credit card or Paypal account 

If you have any questions, you can contact us by sending e-mail to: webmaster@njtesol-njbe.org.

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