Jon Schallert Registration Fom

Workshop Registration

Jon Schallert | January 13, 2025 | 8am - 3:30pm | 313 Franklin St., South Hill, Va
Name*

First NameLast Name
Organization/Company*
Job Title
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Invoice Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
VegetarianVeganGluten-FreeNoneOther
Additional Guests
Registration Options

Please Choose the option according to your location (inside or outside of Mecklenburg) and then for Mecklenburg businesses only - choose whether you want to participate in the personal consultation session with Jon at the end of the workshop (only 20 spots available)
Please select all that apply. Once you submit, you will receive an agenda and invoice attached to your confirmation email. *
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Mecklenburg County Business
My business or residence is located in Mecklenburg County

$35.00 Quantity



Outside of Mecklenburg
My business or residence is located outside of Mecklenburg

$75.00 Quantity



Group Rate
Discounted rate available to groups of 10, located outside of Mecklenburg County

$500.00 Quantity



One on One Business Consultation
Available to Mecklenburg County Businesses only - only 20 spots available.

$ Free Quantity



Total

$0.00
Agreement:

I agree to pay the invoice within 30 days. I understand that my registration fee is non-refundable but is transferable to another person for the same event.
Signature*
Date Signed

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Date
Should be Empty:

Workshop Registration

Registration Options