FAD Biennial Conference – Registration - Florida Association of the Deaf, Inc.

Wednesday October 4, 2023

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Welcome to Registration

Question about FAD Membership or Conference Registration payment, please contact Conference Chairperson Nancy Horne by email ([email protected]). If you prefer to do registration through mail, download the form here.

Step 1: Individual Information

Full Name

Street Address

City

State

Zip Code

Text Number

Video Phone Number

I am

Deaf Hard of Hearing Late Deafened Deaf-Blind Hearing Wheelchair user

Do you need any accommodation

Yes No

If Yes, Please explain:

Step 2: Registration Information

Are you:

$10.00 for Active FAD Member $20.00 Non-Member*

Registration includes: Breakfast Munchies and Lunch, Exhibits, Business & Town Meetings

*Non-Member fee includes $10 one year FAD Membership.

Choice Lunch:

Sub (Chips/Drink) Pizza (2 Slice/Drink)

Step 3: Payment Information

Make personal check, cashier's check or money order payable to FAD.

If prefer pay through Cash App, Paypal, or Venmo to FAD, let us know.

Address:
Florida Association of the Deaf
52 Tuscan Way, Suit 203-305
St. Augustine, FL 32093

We will look forward to seeing you there!

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