A Balancing Act - Charter Schools and Authorizers Registration Form

A Balancing Act - Charter Schools and Authorizers
Workshop Registration Form

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Clients: $235 per Attendee
Non-clients: $355 per Attendee

District, Organization or Company:

Address:

City: State: Zip Code:

Contact Person: Phone Number:

Contact Person E-mail:

Note: Incomplete registration forms will not be processed. Also, reservation
will not be accepted without a check or purchase order.

Attendee: E-mail: Location:

Check Being Sent: (make checks payable to School Services of California, Inc.)

Check # Amount:

Purchase Order Being Sent:

PO # Amount:

Visa or MasterCard purchase (sorry, no American Express or Discover):

Card #

Card Holder Name

Expiration Date: Amount:

Cancellation Policy: Cancellations received between 5:00 P.M. the Friday before your scheduled workshop and three weeks prior will be charged a cancellation fee of $45 per person; however if you order the materials for $65 (clients) or $95 (non-clients), the fee will be waived.. Cancellations received after that time will be charged the full workshop fee. To avoid the cancellation fee, registrants are welcome to substitute other attendees for the registered guest(s). Cancellation numbers will be provided at the time of cancellation and should be retained to avoid any misunderstanding.

If you have any question about the registration, please call Marilyn MacCrackin at (916) 446-7517 ext.123 or e-mail her at MarilynM@sscal.com.

A Balancing Act - Charter Schools and Authorizers Workshop Registration Form

A Balancing Act - Charter Schools and Authorizers
Workshop Registration Form