UCS REGISTRATION FORM FOR NON-MEMBERS - Midwest Parent Educators (MPE)

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UCS After Deadline Registration Form

Registration Information

First Name *

Last Name *

Email *

Contact and Other Information

Phone *

Address *

City *

State *

Zip *

Number of items for sale (Estimate) *

Grade Level(s) of most materials: Pre-K to 12 *

Comments (including name, email address and membership expiry date of anyone sharing the table)

Amount

Credit Card *

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