Shelter English Instruction Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="08b085a3.jpg"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>Plymouth County Education Association</B></FONT><B>     |     </B><A HREF="index.htm" TARGET="_top" TITLE="Plymouth County Education Association"><U><B>home</B></U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="Annual Meeting of PCEA"><U>Annual Meeting of PCEA</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Awards Banquet Form"><U>Awards Banquet Form</U></A>   |   <A HREF="id23.htm" TARGET="_top" TITLE="Who We Are"><U>Who We Are</U></A>   |   <A HREF="id24.htm" TARGET="_top" TITLE="Legislative Conference"><U>Legislative Conference</U></A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="Awards Banquet Information"><U>Awards Banquet Information</U></A>   |   <A HREF="id25.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE=" Courses"><U> Courses</U></A>   |   <A HREF="id26.htm" TARGET="_top" TITLE="course registration form 2008"><U>course registration form 2008</U></A>   |   <B>Shelter English Instruction Form</B>   |   <A HREF="id29.htm" TARGET="_top" TITLE="Southeast Educators Conference "><U>Southeast Educators' Conference     </U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFFFFF" TEXT="#080000" background="08cd2e83.jpg"> <bR> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <bR> <bR> <bR> <div>            </div> <bR> <bR> <div> SOUTHEAST EDUCATORS' FORUM</div> <bR> <div> November 1 & 2, 2007</div> <bR> <div> Sheltered English Instruction Workshop Registration</div> <bR> <div> School/District______________________________________</div> <bR> <div> Name______________________________________</div> <bR> <div> Address____________________________________________</div> <bR> <div>         _____________________________________________</div> <bR> <div> Telephone__________________Fax_______________________</div> <bR> <div> E-mail_______________________________________________</div> <bR> <div> # of reserved seats_______X $150.00 =_______</div> <bR> <div> Please include a check in this amount made payable to:</div> <bR> <div>      Plymouth County Education Association</div> <bR> <div> Mail to:      PCEA</div> <div>           Box 49</div> <div>           Mattapoisett, MA 02739     </div> <bR> <div> <B>November 1 - from 9:00 am- 4:00 </B></div> <div> <B>includes lunch both days</B></div> <div> <B>November 2 - from 9-3:30</B></div> </td> </tr></table></body>