SuccessLink Missouri Department of Elementary & Secondary Education Thursday, May 17, 2012

Technology Workshops registration

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Technology Enhanced Leadership Series – Using Technology to Streamline Your Day!

To register for the training session fill out the form below. You will receive an e-mail confirming your registration details. If you do not receive a confirmation e-mail within 24 hours of registering contact SuccessLink by calling 1-888-636-4395.

Date: March 9, 2012
Location: 915 Southwest Blvd Suite N, Jefferson City, MO 65109
Time: 9:00 a.m. - 3:00 p.m.
Cost: Member’s Fee (16g wi-fi iPad): $1375.00*
Non-member’s fee (16g wi-fi iPad): $1475.00*

Member’s Fee (16g wi-fi iPad with 3G): $1505.00*
Non-member’s fee (16g wi-fi iPad with 3G): $1605.00*

*Please indicate which iPad you wish to receive below under workshop fees.

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:
(Please pick the workshop fee which indicates which iPad you would like to receive)

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 us at 1-888-636-4395 to give the name of your replacement no later than February 28, 2012.

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