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ATA ACT Coaching -Registration Form
Register for ACT Coaching by ATA - Discounted FEE $200 for ATA Members. Deadline to Register 08/31/2021
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ATA ACT 2021
Student Full Name
*
Your answer
Student Email
*
Your answer
Student Contact Number
*
Your answer
Parent Full Name
*
Your answer
Parent Email
*
Your answer
Parent Contact Number
*
Your answer
Currently ATA Member
*
NOTE: Please become ATA Member at
https://americanteluguassociation.org/membership.php
($50 Life Membership)
Yes
No
FEE Payment Details
*
NOTE: Please pay the Fee $200 at
https://americanteluguassociation.org/donor.php
(Choose the Payment Category "Educational Services" ) and provide here Payer Name, Payment Date, & Email
Your answer
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