Registration Happiness Lab SEL Workshop June 2022

Do you have a coupon code?

Coupon Code

Hooray! 100% off ONE seat has been applied to your order!

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How many people would you like to register? *

How many people would you like to register? 100% OFF ONE SEAT has been applied to your order! *

REGISTRATIONS INFORMATION

Registration Information *

First

Last

Email *

Title *

Admin Association *

If you are a member of an admin association, please list which one.

Single Line Text

How did you hear about Strobel Education? *

2 OR MORE REGISTRATIONS

List additional registrations here (up to 9).

Please list the names and email addresses of additional registrations here.

SCHOOL / DISTRICT INFORMATION

School / District *

School Address *

Address Line 1

Address Line 2

City

State

Zip Code

School Phone *

Principal's Name *

BILLING INFORMATION

Who will be paying for this workshop registration? *

Me
School / District

Bill To Name *

First

Last

Bill To Email *

How would you like to pay? *

With a Credit Card
With a Purchase Order

Total

$ 0.00

Credit Card *

Card

Name on Card

All Purchases Are Non-Refundable

PAY WITH PURCHASE ORDER

An invoice will be sent once this order form is received. If you have any questions before receiving the invoice please email [email protected] *Your registration will be on hold for 5 days while waiting for the check to arrive. *Your registration will be on hold for 5 days while waiting for the check to arrive. Registration is subject to cancellation if a purchase order has not been received within 5 days.

Purchase Order Number