Registration Form Stillwater – Nuts & Bolts Symposiums

Primary Contact Person:

School Name *

First Name *

Last Name *

Email - confirm you have entered this correctly *

Email

Confirm Email

I consent to receive future marketing emails regarding updates on Nuts and Bolts Symposiums *

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Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Stillwater, Oklahoma - 2023

June 19-20: Ready to Lead - A Conference for Middle Level Leaders

June 21: Pre-conference with Kim Campbell

June 22-23: The Never Boring Conference for Educators Grades 2-10

Location: *

Stillwater, Oklahoma

Participant 1 First Name:

Last Name:

Email Address:

Participant 1 registering for:

Ready to Lead Conference - $359.00
Pre-Conference - $199.00
Never Boring Conference - $399.00
All Three - $899.00

Participant 2 First Name:

Last Name:

Email Address:

Participant 2 registering for:

Ready to Lead Conference - $359.00
Pre-Conference - $199.00
Never Boring Conference - $399.00
All Three - $899.00

Participant 3 First Name:

Last Name:

Email Address:

Participant 3 registering for:

Ready to Lead Conference - $359.00
Pre-Conference - $199.00
Never Boring Conference - $399.00
All Three - $899.00

Participant 4 First Name:

Last Name:

Email Address:

Participant 4 registering for:

Ready to Lead Conference - $359.00
Pre-Conference - $199.00
Never Boring Conference - $399.00
All Three - $899.00

If registering 5 or more people, contact Heather: registration@nutsandboltssymposiums.com

Total

$0.00

Payment Options:

Credit Card

Card

Name on Card

Purchase Order

Purchase Order Number or contact information for the PO

Check

Contact information for the check. Please make your check payable to Berckemeyer Consulting Group and mail to: 200 Quebec St., #300-111, Denver CO 80230
Download Berckemeyer Consulting Group W-9 here.

Important: You are not registered until purchase order is in process or payment has been received.

If you have questions, please contact Heather registration@nutsandboltssymposiums.com

The Never Boring Conference for Educators

Registration Form - Stillwater, Oklahoma