Registration and Payment
Non-refundable registration fee: $25.00
Name
*
First Name
Last Name
School/Institution:
*
School District:
*
Subject(s) You Teach (if you are a teacher):
*
Grade Level:
*
K-Elem
Middle/Jr. High
High School
Higher Ed.
Other
Address Type:
Home
School/Institution
Address:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
E-mail
*
If you are registering/paying for another or additional attendees, add their name(s) here:
Payment Method:
*
Credit Card (Pay Online Now)
Check/Purchase Order
Registration Quantity:
1 - $25.00
2 - $50.00
3 - $75.00
4 - $100.00
5 - $125.00
6 - $150.00
7 - $175.00
8 - $200.00
8 - $200.00
9 - $225.00
10 - $250.00
11 - $275.00
12 - $300.00
13 - $325.00
14 - $350.00
15 - $375.00
16 - $400.00
17 - $425.00
18 - $450.00
19 - $475.00
20 - $500.00
21 - $525.00
22 - $550.00
23 - $575.00
24 - $600.00
25 - $625.00
26 - $650.00
27 - $675.00
28 - $700.00
29 - $725.00
30 - $750.00
31 - $775.00
32 - $800.00
33 - $825.00
34 - $850.00
35 - $875.00
36 - $900.00
37 - $925.00
38 - $950.00
39 - $975.00
40 - $1,000.00
41 - $1,025.00
42 - $1,050.00
43 - $1,075.00
44 - $1,100.00
45 - $1,125.00
46 - $1,150.00
47 - $1,175.00
48 - $1,200.00
49 - $1,225.00
50 - $1,250.00
51 - $1,275.00
52 - $1,300.00
53 - $1,325.00
54 - $1,350.00
55 - $1,375.00
56 - $1,400.00
57 - $1,425.00
58 - $1,450.00
59 - $1,475.00
60 - $1,500.00
61 - $1,525.00
62 - $1,550.00
63 - $1,575.00
64 - $1,600.00
65 - $1,625.00
66 - $1,650.00
67 - $1,675.00
68 - $1,700.00
69 - $1,725.00
70 - $1,750.00
71 - $1,775.00
72 - $1,800.00
73 - $1,825.00
74 - $1,850.00
75 - $1,875.00
76 - $1,900.00
77 - $1,925.00
78 - $1,950.00
79 - $1,975.00
80 - $2,000.00
81 - $2,025.00
82 - $2,050.00
83 - $2,075.00
84 - $2,100.00
85 - $2,125.00
86 - $2,150.00
87 - $2,175.00
88 - $2,200.00
89 - $2,225.00
90 - $2,250.00
91 - $2,275.00
92 - $2,300.00
93 - $2,325.00
94 - $2,350.00
95 - $2,375.00
96 - $2,400.00
97 - $2,425.00
98 - $2,450.00
99 - $2,475.00
100 - $2,500.00
101 - $2,525.00
102 - $2,550.00
103 - $2,575.00
104 - $2,600.00
105 - $2,625.00
106 - $2,650.00
107 - $2,675.00
108 - $2,700.00
109 - $2,725.00
110 - $2,750.00
Secure Pay:
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Registration Fee (Non-Refundable)
$
25.00
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Item subtotal:
$
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Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: