Administrator Registration

Administrators Registering Employees for ADMTEI Workshop

This form will register up to 4 employees (including yourself, if desired) for an upcoming workshop and require payment. To register 5 or more, you MUST contact Shanna Lacey at slacey@admtei.org with your contact information. Shanna will call you to arrange payment.

Administrator's Name *

First

Last

Administrator's Email *

Invoice will be sent to this email address.

Phone *

School/Organization Name

Address *

Address Line 1

Address Line 2

City

State

Zip Code

How many attendees are you registering? *

1 Attendee - $ 50.00
2 Attendees - $ 100.00
3 Attendees - $ 150.00
4 Attendees - $ 200.00

Attendee #1 Name *

First

Last

Attendee #1 Email *

Comment or Message (optional)

Name