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In Loving Memory of Rocky De Buano
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Age
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16-17 Must email AZTIAdm@gmail.com
18-25
26-35
36-50
Over 50
T-shirt
Small and Medium for $20.00 + $1.00 fees (Online)
Large, XL, and XXL for $25.00 + $1.00 fees (Online)
XXXL for $30.00 = $1.00 fees (Online)
Quantity of Small
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Quantity of Medium
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Quantity of Large
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Quantity of XL
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Quantity of XXL
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Quantity of XXXL
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Please Answer the Following Questions:
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Deaf
Hard of Hearing
Hearing
Have you ever participated in a Total Immersion Program?
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Yes
No
If yes, where and when?
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Level of Sign Language 1=Beginner 5=Advanced
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How did you hear about AZTI?
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Payment Method
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Check
Credit Cards - Processing fee $25.00
* $730.00 by May 31, 2019 (If you made the deposit of $100.00, be sure to pay the difference of $630.00 by May 31, 2019)
* $755.00 after June 1, 2019
* Registration is limited to 50 participants!!!! HURRY
* Credit Cards processing fee = $25.00
* Paypal processing fee = $20.00 (Not accept at this time)
* NOTE: I'd strongly recommend you to mail the checks in order to avoid paying the processing fees. You can pay monthly by May 31, 2019.
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The $100.00 registration fee to hold your spot is
nonrefundable
.
If additional money has been paid and participants must cancel, contact ASL AZTI at
AZTIAdm@gmail.com
no less than 30 days prior
to the start of the retreat on June 28, 2019. No refunds for cancellation (regardless of reason) less than 30 days of the start of the retreat. However, if a participant must cancel less than 30 days prior to the start of the retreat, the participant may transfer her/his slot to someone and arrange to recoup money or the participant may donate the slot as a scholarship.
* Purchase of T-Shirt = # of shirts x price ($20 for Small and Medium; $25 for Large, XLarge, & XXLarge; $30 for XXXLarge)
* To reserve your spot, please send a check and mail to this address below:
Mailing Address:
ASL Arizona Total Immersion
P.O. Box 10393
Tempe, AZ 85284
Email address: AZTIAdm@gmail.com
I have read the FAQ page of this website and understand I will not receive anything in the mail. I do understand that I will only receive an email confirming my registration from the registrar.
I also understand that ASL AZTI 2019 is currently full and will put me on the waiting list. I will not pay the deposit of $100 because it is non-refudable and will pay when the spot is available.
Agreement
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