Seminar Registration Form

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MAF3F1-CEN

Practical and Proven Strategies for Improving Your ALGEBRA Instruction (Grade 6-12)
Live Online Event on November 2, 2022 from 9:00 am – 3:30 pm

If you prefer, print a blank registration form to mail or FAX.

Pricing Information $279.00 Group Price: $259.00

Fee includes seminar registration, refreshments, a personalized certificate of attendance, and an extensive resource handbook.

Priority Code

If you are responding to one of our brochures, please take a moment to fill out your Priority Code (the six digit number on the mail label next to the word "ID")

I have my brochure / e-mail
* Priority ID Code:

If you don't have your Priority ID code, how did you hear about this event?

Email
Mailed Brochure
Website
Other/Colleague

Participant Information

* = Required Field

* First Name:
Middle Name:
* Last Name:
* Position:
* Grade:

Participant School * School Name:
* Participant Email:
School Phone: --
* School Address:
* City:
* State:
* Zip:

Home Address * Home Phone: --
Home Address:
City:
State:
Zip:

Add Participant to Group

If additional individuals are registering with you, click the "Add Participant to Group" button. When all group participants have been added, continue with the remainder of the form.

Group Participants

There are no Group Participants.

To add participants to a group registration use the "Add Participant to Group" button above.

Payment Information * Payment Method:

Credit Card

School or District P.O.

Bill Home

Bill School

Credit Card Information Visa

Cardholder's Name:
Card Number:
CVV Number:

Where is my CVV Code on my card?

On Visa, Mastercard, and Discover cards:
Turn your card over and look at the signature box. You should see either the entire 16-digit credit card number or just the last four digits followed by a special 3-digit code. This 3-digit code is your CVV number / Card Security Code.

Expiration Date:

*Required for credit card payments!

Billing Zip code:

Purchase Order

Please Note: some districts require that we receive a purchase order issued to you for the function BEFORE you can be registered for the seminar. If this is required by your district, please print this page, fill it out and have it faxed to us together with the purchase order.

School or District P.O. Number (if available):

Please leave this blank:

Submit Registration Form

After you have completed the entry of all registrants, click the "Submit Final Registration" button.

Phone:
1-800-260-8180

Fax:
1-425-453-4103

Email:
info@iedseminars.org

Postal Mail:
Institute for Educational Development
P.O. Box 718
Medina, WA 98039-0718