Understanding by Design
July 6 and 7, 2017 — $669

Attendees

How many attendees are you registering for?  
For each group of five that attends this conference from your district, you may send a sixth person at no additional charge. Please note that in order to take advantage of this offer, you must make a single payment for the group. This offer not valid with other discounts.
 
1. First Name: Last Name: Email:
  Job Title: Subject Area: Grade Level:
 
 

Billing Information

Please complete the entire form, entering the proper information in all fields.
 
Billing First Name:
Billing Last Name:
Title/ Position:
Billing Email:
Business Phone:
 
Organization:
Address:
Address 2:
City:
State:
Zip:
Tax Exempt:
 

Payment Method

Please select one of the payment methods below. Be sure to provide all information for the chosen payment method.
 
Pay Now by Credit Card (Visa or Mastercard only)
  Credit Card Number:  Exp:   / 
  First Name on Card: Last Name on Card:
  Card Billing Zip Code:
Pay with Purchase Order
  PO Number (req):
  Date of Board Approval:
Pay with Check
 
Puchase Orders and Checks can be sent to:
PO Box 148, Hopewell, NJ 08525
Email: natalie@authenticeducation.org

Note: Your registration will be confirmed as soon as we receive your check/purchase order.
 
 

Submit Your Registration

Your total cost for this registration of 1 attendee(s) is $669.00.

Click "Submit My Registration" to submit this registration for payment.
If you've chosen to pay by credit card, please be patient after you submit while we process the transaction.
 
 

Questions?

Need help registering or have questions? Call us at (609) 466-8080, or email workshops@authenticeducation.org.
 
 
The Fine Print: Cancellation: a fee of $50 will be retained for cancellations received in writing 10 days before the event. After that date, registration fees will not be refunded, though they may be transferred to another participant . Unless you notify us otherwise in writing, we retain the right to take photographs of participants during the conference and use those photographs in educational and promotional materials. Authentic Education reserves the right to cancel this conference for any reason. If we must cancel, we will refund registration fees promptly. We are not responsible for expenses incurred by the purchase of non- refundable air tickets or any other expenses. We also reserve the right to change the conference location, if necessary, and will notify you immediately if such a change occurs.
 
Copyright © 2009 Authentic Education
P.O. Box 148, Hopewell, NJ 08525
t:(609)466-8080 | f:(609)466-4033