You may use this online registration form which will allow you to pay securely online with a credit card.
INFORMATION
First Name: Middle Initial: Last Name: Mailing Address: City: State: ZIP: Home Phone (include Area Code): Email:
EMPLOYMENT INFORMATION
Are you currently teaching? (choose one) Yes No If yes, where: Are you an SHSU alumni? (choose one) Yes No When did you graduate?:
WORKSHOP REGISTRATION
Total Amount Due:
$240.00 (one workshop) $390.00 (two workshops)
SHSU Alumni Discount Prices:
$120.00 (one workshop) $195.00 (two workshops)
PAYMENT INFORMATION
1) Payment is due upon registration.
2) Refunds: Full-refunds will be made up to 7-days before the workshop begins.
3) After submitting this form, you will be sent to a page from which a credit card payment will be accepted.
Name of person paying: Phone Number of Payee (REQUIRED in the event of refund)
Return email address: (place your email address here)
If you have entered the information as you wish it to appear, please click "Submit." If you wish to redo the entire application, click "Reset."
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