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The next course (Level 1) begins September 27, 2018.
Name
*
Institution
*
Discipline
*
Date
*
E-mail
*
Phone
*
Is this part of a team registration?
*
Yes
No
Event and Pricing
Level 1 Cost:
Individual:
$395
per participant
Team:
$1000 for 3
participants from the same institution
Institution:
$250
per person for 30 participants
(contact us for block registration:
603-601-2246
)
Note that Level 2 carries an additional fee.
Start Date:
Sept 27, 2018 (Level 1 lasts 8 weeks)
Select Payment Method
*
My school is paying for my registration
Please invoice me via PayPal (credit/debit card)
I will mail a check to Pacific Crest
Please bill me. Use PO # given here.
Please bill me. Use PO # given here.
Payment Amount
*
If you choose to pay by check, send check to:
Pacific Crest
P.O. Box 370
Hampton, NH 03843-0370
If paying by check, please add the event
date in the memo field of your check!
Questions/comments/requests:
Copyright (c) 2012 Pacific Crest