Conference Registration

Conference:

Title:

First Name:

Last Name:

Email:

School District:

School Building:

School Phone:

School Address:

School City:

School State:

School Zip:

School County:

Home Phone:

Home Address:

Home City:

Home State:

Home Zip:

How would you identify your role as an educator?

If other, please specify:

Grade level you are currently teaching or are responsible:

If other, please specify:

Please Bill:

Me
My School (Listed Above)

I am interested in earning graduate credit which will require additional hours of instruction.

Yes
No

Please Note: Lunch provided for the $15 conference registration fee for registrations received by July 25, 2008.

Registration and Payment Confirmation

Confirmation of registration will be e-mailed (or upon request US mailed) within 7 days of receipt of payment. You will receive a confirmation AFTER payment or receipt of purchase order has been confirmed.

Forms of Payment Accepted

For payment by Visa/Discover please CALL 800-966-9638 and ask for Wapakoneta Conference registration. Online payments are NOT accepted at this time. You may also register by phone at this same number.

Purchase orders or checks are also welcome, mailed to Wapakoneta Conference, NWOET, 245 Troup, Bowling Green, Ohio 43403. Mailed registrations must be RECEIVED no later than July 10, 2008.

The $15.00 registration fee includes lunch; there is no additional charge for certificate of professional development; those registering for graduate credit will receive additional information regarding costs, fees and required texts (if any) from the institution granting credit

800-966-9638 | conference@nwoet.org | 245 Troup Ave., Bowling Green, OH 43403