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Name (please print or type)
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Soc. Sec. # (required to process refunds)
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Address
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City/State Zip
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Phone Number
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Firm or Company
_____ VISA _____ MasterCard _______ Discover
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Cardholder's Name (as it appears on card)
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Card Number Exp. Date
Telecommunication Devices for the Deaf/Teletypewriters. (800) 735-2966 (TT) (800) 735-2466 (Voice).
No admission ticket or confirmation will be sent. Just pick up materials at the registration desk on the day of the program. Preregistration is encouraged. There is no penalty for walk-in enrollments.