CTEBVI Payments

CTEBVI Payments

This form will allow you to make a payment for CEUs or pay for on-site registration during conference. If you are pre-registering for the CTEBVI Conference, please do so through the conference registration page.
Name of person completing this form*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payment Type*

Check or Money OrderDebit/Credit CardPayPal
Electronic payment
Check/money order
If you wish to pay by check or money order

Please make check payable to CTEBVI and mail with this form to:

CTEBVI, c/o Cristin Lockwood, PO Box 1084, Edmond, OK 73083-1084