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Note:  The autofill routine from the previous BASA web site is still under development as a new feature from our web provider.  This enhancement is planned for 2010.  In the meantime you may use any of the commercial autofill programs such as those from Google, Yahoo or MSN to automatically populate much of this form.



 
If you have any questions about this registration please contact us:
 
Buckeye Association of School Adm
8050 North High Street - Suite 150
Columbus, Ohio 43235
 
614.846.4080
 

Registration Form for Breakfast With BASA & Benesch Regional - Cuyahoga County ESC

Breakfast With BASA & Benesch Regional Meeting 

Date: 03/23/12| Time: 8:30 AM-12:30 PM | Location: Cuyahoga County ESC, 5811 Canal Road, Valley View, OH 44125

First Name *

Last Name *

School District/Organization *

Title/Position *

    

Address *

Address Line 1
Address Line 2
City
State
Zip Code

Email Address 

(e.g. john@yahoo.com)

Telephone Number 

(e.g. 893-552-9392) 
 

Fax Number 

(e.g. 893-552-9392) 
 

There is no fee for this regional meeting.