NAME
POSITION
SCHOOL
DISTRICT
ADDRESS
CITY ZIP
PHONE		EMAIL   Confirmations will be e-mailed

* Teams of three or more are $275 per person, if ALL are ASA members.
** Teams of 3 or more with Non-ASA Members are $325 per person

METHOD OF PAYMENT: Check one
District	Personal Check
RETURN THIS FORM WITH YOUR CHECK OR PURCHASE ORDER TO:
Arizona School Administrators 1910 W. Washington St. Phoenix, AZ 85009 (800) 472-9753   (602) 252-0361   FAX: (602)-252-8862

No Refunds after
May 22, 2009