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Registration Form
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Name |
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Title |
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Grade Level or Subject |
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School District, University or other organization |
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Campus or Department |
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Address 1 |
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Address 2 |
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City, State, Zip |
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Country |
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Phone |
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FAX |
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URL |
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Workshop Title, Location and Date |
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Purchase Order # |
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Check or Money Order # |
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| Billing Office | |
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Please tell us where you heard about our workshop: ____________________________________________________________
I have read and accept the registration information, terms and conditions outlined below
______________________ ______
Signature Date
Workshop Registration
Mail or fax this form to 21st Century Schools at 648 Green Pine Drive, Pensacola, FL 32506
Telephone (850) 457-2946 Fax (850) 457-2930 Email: Director@21stCenturySchools.com
Fees: Fee includes your Registration, Materials, a Continental Breakfast, Midmorning Snack and Mid-afternoon Snacks! Please note that the workshop registration fee does not include airfare or sleeping rooms.
Terms: No personal checks will be accepted. You may register with a Purchase Order Number, and the Purchase Order will be billed upon receipt with payment due immediately. Registrations may be paid with a money order, a school or district check, or via online credit card payment. To make credit card payment online go to http://www.21stcenturyschools.com/Credit_Card_Payment.htm
Purchase Orders: Registration fees are due at time of registration. Purchase orders stating that payment will not be made until after services have are rendered and/or stating that payment will be made within sixty days, does NOT change or override our company policy of payment being required prior to the workshop.
Late Payment - All payments received after the date of the workshop will be assessed a late penalty of $50 per registrant unless other arrangements were made with 21st Century Schools at the time of registration.
No Show: Anyone registering for a workshop and not attending without notifying 21st Century Schools within the cancellation deadlines will be billed in full.
Cancellation by Registrant: a fee of $50 will be retained for cancellations received in writing 30 business days before the event. After that date, registration fees will not be refunded, though they may be transferred to another participant. Unless you notify us otherwise in writing, we retain the right to take photographs of participants during the conference and use those photographs in our educational and promotional materials.
Cancellation by 21st Century Schools: 21st Century Schools, LLC reserves the right to cancel a workshop for any reason. If we must cancel, we will refund registration fees. We are not responsible for expenses incurred by the purchase of non-refundable air tickets or any other expenses. We also reserve the right to change the conference location if necessary, and will notify you immediately if such a change occurs.
Late Registrations: Late registrations are those registrations that are received via email, fax, phone or the online registration form within 30 business days of the workshop. Late registrations are subject to a $25 late registration fee unless other arrangements are approved by 21st Century Schools. All registrations, no matter what the date of registration, are subject to the No Show policy. This includes registrations for which payment has not yet been received.
Travel and Lodging: Participants are responsible for their own transportation, lodging and meals (other than those provided at the workshop). See Food and Beverages below.
On-Site Registration: When space is available, on-site registration is possible for an additional $25 fee. Call 24 hours prior to your meeting to ensure it has not sold out.
Food and Beverages: All institutes include continental breakfast, and mid-morning and mid-afternoon snack breaks each day.