Technology Workshops registration

First Name:*

Last Name:*

School District:*

Billing Address:*

City:*

State:*

Zipcode:*

Phone Number:

E-mail Address:*

Payment Method:*    Check Credit Card
(If paying by credit card please call SuccessLink at 1-888-636-4395 with your credit card number ready)

P.O. Number:*
(All registrations must be submitted with a pre-approved purchase order number to be accepted)
(If paying by credit card please type in credit card as your po number)

Workshop Fee:

Cancellation Policy: The workshop registration is non-refundable; in the event you are unable to attend you may send a replacement. If you are sending a replacement please contact Georgi at 888-636-4395 to give the name of your replacement no later than March 19, 2012.

In case of inclement weather please contact our office for workshop updates at 888-636-4395.