Professional Development Request Form

Thank you for your interest in hosting an Professional Development event presented by Educational Technology and Life. Please complete the form below. We will contact you about this request as soon as possible. You may also contact Dr. Mark Wagner at mark@edtechlife.com or 949-639-9743 if you have any questions.

The cost of events varies and will depend on the options chosen below. We will provide you with a customized proposal and quote based on the options you select below.

Please complete the form a separate time for each individual workshop, session, or keynote that you would like to request. Please do not request multiple events on one form.

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