Hit CTRL  and P to print this form. Complete and follow mailing directions below 

If paying with credit card, please see our Submittable registration link. 

https://kcte.submittable.com/submit/108181/2019-kcte-conference-registration

KCT/LA Conference: February 22-23, 2019- Embassy Suites, Lexington, KY

** Denotes these fields are REQUIRED in order to accept your P.O. 

**Basic Information: 

Name: ___________________________________

School: __________________________________

Email:____________________________________

Phone: __________________________________

**Home Address: _____________________________________

(We need this to mail the KEB)

Check Cost: 

  • Current member/conference- $120.00 
  • Conference/membership renewal - $150
  • Undergraduate- membership/conference- $60
  • Undergraduate- Conference only- $50 


**Method of Payment: 


  • P.O. Number:________________
  • Check #_____________


**If paying by P.O., to whom should KCTE Send Invoice?  

 (Provide Name/Position/Address/Email) 




** Denotes these fields are REQUIRED in order to accept your P.O. 

Effective November 2018 and forthwith, KCTE/LA will charge a $25 fee per registrant if registration P.O. is not paid within 60 days of the invoice date. We can no longer accept group registration based on a promise of P.O.  

Contact Membership Chair-  Patricia Hackworth with questions regarding membership: patricia.hackworth@floyd.kyschools.us.

Contact Treasurer - Patti Slagle with questions regarding payment: slagerman@twc.com.