Register Online Name(Required) First Last Phone(Required)Email(Required) Enter Email Confirm Email Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Participant Category(Required) AT Specialist Case Manager Educator OT Parent/Family member Person with Disability PT SLP VR Counselor Other Choose Event(s):(Required) NAU students, faculty, and staff only – AT Maker Workshop: Switch Adapted Bubble Machine; Wednesday, November 8, 2023; 1:00-3:00 PM FOR TRAINING EVENTS WHERE THERE IS A FEE, PAYMENT OPTIONS ARE AS FOLLOWS: Credit Card: Call AzTAP at 602.728.9534, 800.477.9921; PO or Check: Payable to Northern Arizona University & mail to AzTAP, 300 W Clarendon Ave, #475, Phoenix, AZ 85013 (Specify name of event) Reasonable Accommodations (e.g. Captioning, Large Print, Braille, etc.).
