~ Idaho Summer Conference ~ Microsoft Office Certification ~Registration~
Address to send payment to:
Checks Payable to
Brenda Jacobsen:
Mail to:
College of Education
Attn: Brenda Jacobsen
Campus Stop 8059
Pocatello, ID 83209
Please be sure to print this form before you submit it!
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First Name
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Last name
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Home Phone
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Test Session - Wednesday, June 17, 2009
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Only 10 seats are available for each testing session. If you would like to take multiple tests, please choose multiple testing times.
9am – 10 am
10 am to 11am
11 am to 11:45 pm
12:30 pm to 1:15 pm
Number of tests you wish to take:
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Each test costs $25 - multiply the answer to this question by $25 to calculate the total amount owed.