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NorthEast Washington ESD 101 presents ...

Pyramid Response to Intervention with Dr. Austin Buffum

June 23, 2011 9:00 am -3:30 pm

West Valley High School 8301 East Buckeye Avenue, Spokane Valley

The response to Dr. Austin Buffum’s February presentation on Pyramid Response to Intervention was so overwhelmingly positive that we are pleased to announce we have secured his services for a second day of training.

Although Dr. Buffum’s new book will not be released in time for this training, he has promised to discuss his newest thinking on PLC’s from that publication.

Name: ___________________________________________ School/District:________________________________ Position: _________________________________________ Contact Phone Number: _________________________ Email Address: _________________________________________________________________________________

How to register (Space limited to 80 participants) The registration fee of $175.00 per individual is payable in ad- vance to NEWESD 101. Please mail check, money order, purchase order or Visa/MasterCard authorization (no cash please, US funds only), along with registration form to:

Brenda Carlson 4202 S. Regal Street, Spokane, Washington 99223 Fax (509) 323-2747Telephone: (509) 789-3527

  • Check

  • Money Order

  • PO Enclosed

  • Bill Credit Card

Credit Card Information: Credit Card Number:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Name as it appears on credit card: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __________________________________

Authorized Amount: $ Expiration Date: ___________________ ______________

* 3 D i g i t S e c u r i t y # _ _ _ _ _ _ _ _ Authorized Signature: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ * L a s t t h r e e n u m b e r s t h a t a p p e a r o n t h e b a c k o f t h e c a r d . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Registration deadline: June 10, 2011

Clock Hours: 5.5/$11 (checks only please and payable following the workshop) Lunch provided

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