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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 Ohio School Employment Law (UBX)

Ohio School Employment Law (UBX) 

Date: 02/09/12| Time: 9:00 am - 3:00 pm| Location: Holiday Inn Worthington - 7007 North High Street - Worthington, OH 43085

First Name *

Last Name *

Title/Position *

    

Email Address 

(e.g. john@yahoo.com)

Telephone Number 

(e.g. 893-552-9392) 
 

Fax Number 

(e.g. 893-552-9392) 
 

School District/Company *

    

Address *

Address Line 1
Address Line 2
City
State
Zip Code

Type of Registration *

  

Method Of Payment 

  

Purchase Order Number 

Credit Card Information 


Card Type:

Cardholder Name: (Name as it appears on Credit Card)

Credit Card No.
Verification No. [?]
 / 
Expiration Date (Month/Year).

Billing Information 

Address Line 1
Address Line 2
City
State
Zip Code