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 Oleson, WCSLA
21594 Birchwood
Farmington, MI 48336

Your payment MUST arrive by the deadline date.

NOTE!! If you are mailing in a check, you STILL NEED TO FILL OUT A REGISTRATION FORM ONLINE AND SUBMIT IT. ONLINE FORMS SHOULD BE FILLED OUT BY THE REGISTRANT TO MAKE SURE ALL INFORMATION IS COMPLETE. You must also print off the form and mail it in with a personal check or have the district mail the form in with the school district's check. If you are paying for MORE than one participant, the form MUST BE submitted for EACH participant attending.

Name:
Address:
City, State, Zip
Phone:
Email Address:
Workshop #1 - Friday, October 7th, 2011 Deadline - September 30, 2011 - closed
Workshop #2 - Wednesday, December 7th, 2011 Deadline - November 30, 2011	$60
Workshop #3 - Wednesday, May 9th, 2012 Deadline - May 2, 2012	$60
CEU's $10 fee per workshop	CEU's are available for purchase at the workshops.
	Total Amount Due: $