Please fill out this form and submit payment by January 31, 2018 to register for the Teachers Conference and Advanced Practice Workshop.
Pay by Check or Bank Draft:
After you complete and submit this form, write your check or bank draft for $361.00 USD to Stephanie Skura with 'Open Source Forms' in the memo field, and mail to:
Stephanie Skura/Open Source Forms703 Cedar Drive SEAuburn, WA 98002-7602US
Your check or bank draft must be received within 10 days of submitting this form to hold your spot.
Pay by Wire Transfer (international payments only, bank fees may apply)
Please click submit on this form, and we will email you wire transfer details as soon as possible. Thank you!
Please note our cancellation policy:
Cancellations through 15 February 2018 - 75% refund
Cancellations after 15 February 2018 - No refund