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Surviving in the Classroom

Workshop Registration 

 

 


 

 

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Registration Type

Quantity
Price
Total
Individual Registration

Registration for one person

X
$
60.00=
$
0

Student Registration

Currently enrolled student

X
$
35.00=
$
0

Register 3 or more

3 or more from the same organization

X
$
50.00=
$
0

Final Total:
$
0

Payment Information

Amount*
$
Name on Card*
Card Number*

Comments

Additional Comments

Security Code

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