Minnesota Driver and Traffic Safety Education Association

Workshop Report Form     * denote required answers.
Which regional workshops are you reporting for? Stillwater Marshall     Mankato     St. Cloud     Thief River Falls Kasson (Rochester)     Willmar     Perham    Duluth    Shakopee
How many teachers on the list?
How many were added?
List their names:
How many no shows?
List their names:
How many teachers in attendance?
How many examiners and speakers?
List their names:
How many meals were served?
What was the price per meal?
What was the total tax?
What was the gratuity?
Total bill?
Who should be paid for the bill? Give address:
When done entering information press

Minnesota Driver and Traffic Safety Education Association
Last Revision: January 2022 Copyright © 2022 Created: January 2022 E-Mail to MDTSEA Webmaster	Secretary Janice Jensen-Skoviera 601 Richland Ave SW Willmar MN 56201 Phone 320 231 0489
URL: http://www.mdtsea.net/memberform.html