AWSNA Great Lakes/Ontario Regional Conference
February 22-24, 2018
INDIVIDUAL REGISTRATION

Please complete the below form to register.

Registration Fee:
$140 if paid by February 9
$160 if paid after February 9

Includes snacks throughout and lunch on Friday, February 23.  Thursday and Saturday dinners can be ordered below for an additional $15 each.

* 1. Your Information

Please select your workshops in order of preference.  Refer to the event brochure for workshop descriptions.

* 5. Meal Preferences

* 6. Optional Meetings

* 7. Optional Meals

Payment Options:

1. Complete credit card information below.  A 3% administrative fee will be charged.
2. Mail a check (information provided at end of survey).
3. Contact Alex Western at awestern@steinerschool.org.

* 8. Credit Card Type

* 9. Total Amount to Charge (Reg. Fee + Optional Meals)

* 10. Name As It Appears On Card

* 11. Billing Address For Card

* 12. City, State and Zip For Card

* 13. Card Number (with dashes)

* 14. CVV Code

* 15. Expiration Date

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