NEMCC BRIDGES Conference Summer 2019

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Name*

First Name

Last Name

School/Institution*

Email*

Address*

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City

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ZIP Code

Phone*

T-Shirt Size*

Do you currently have an iPad?*

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Is your institution currently a 1:1 iPad school?*

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Do you have any dietary restrictions?

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Method of payment*

Please make checks payable to Northeast Mississippi Community college and mail registration fees to Amber Nelms, 218 Ramsey Hall, 101 Cunningham Blvd., Booneville, MS 38829.