PDTechU 2012-2013 Registration via Purchase Order

Please complete each item below in order to register for PDTechU seminars using a Purchase Order.

Where:

* Gala Event Center, 42 Prairie Dell Plaza, Union, MO, 63084

Costs:

*199.00 per person per session
* Discount for 2+ participants from the same district: $174.00

Details:

* Bring your own laptop
* Continental breakfast provided
* Lunch on your own

Name, School Email Address, Alternate Email Address for all Attendee(s)

This is a required question

Select the Session(s) which you plan to attend?

This is a required question

School Name

This is a required question

School District (if applicable)

This is a required question

School/District Address

This is a required question

School/District City and State

This is a required question

Business Office Contact Person

This is a required question

Business Office Email Address

This is a required question

Purchase Order #

This is a required question

Total Amount of Purchase Order

This is a required question