Mail In Registration

Mail In Registration

To pay by check, Please submit the form below.
Then, send a printed copy of the registration form and your check to:

Susan Olsen, WCSLA
21594 Birchwood
Farmington, MI 48336

Your payment MUST arrive by the deadline date.

Name:
Address:
City, State, Zip
Phone:
Email Address:
Early Bird Registration (all three workshops and your membership fee is waived) Deadline - October 3, 2008	$120
Workshop #1 - October 10, 2008 Deadline - October 3, 2008	Member $40 Non - Member $50
Workshop #2 - December 11, 2008 Deadline - December 04, 2008	Member $40 Non-Member $50
Workshop #3 - May 8, 2009 Deadline - May 1, 2009	Member $40 Non-Member $50
Yearly Membership Dues	$20
CEU's $10 fee per workshop	CEU's are available for purchase at the workshops.
	Total Amount Due: $