Workshop Listing Form for IYASE Website and Newsletter Start date of workshop Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2008 2009 2010 2011 2012 End date of workshop Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2008 2009 2010 2011 2012 Name of the Teacher Subject or title of workshop (i.e. teacher training, retreat, etc.) Contact name Contact phone number Contact e-mail Contact web site Your name Your e-mail are you a member of IYASE? yes no Additional comments
yes no
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