Registration Rates
Individual
Groups of 3-9
10 or more
Early Bird Registration
(submitted on or before )
$-30
$-55
$-70
Onsite Registration
(submitted after )
$
$-25
$-40
REGISTRATION FEES
Current Registration Rate:    $
How many people are registering?
Total Amount Due:    $

PAYMENT INFORMATION
Payment Method:
PO / Check #:

Please click here to register with a credit card.

Upload a purchase order:

IMPORTANT INFORMATION: PLEASE READ
Your registration will NOT be processed without an accompanying purchase order or form of payment. Registration includes morning refreshments and materials. All meals, lodging, travel and parking are the responsibility of the registrant.

Cancellations must be made in writing seven days prior to the seminar. A $20 processing fee will be assessed.

Please fill out the registration form and either upload your purchase order and click the submit button to send the form electronically or click the print button and mail or fax the form to Developmental Resources along with purchase order or payment.

REGISTRANT INFORMATION
First Name
Last Name
Email
Work Phone
Home Phone
Mobile Number
Mobile number will ONLY be used should event be postponed/cancelled due to weather, etc.
Occupation
Name of School / Organization
Billing Contact
(if different from registrant)
Billing Address
City
State/Province
Zip/Postal Code
Please check here if you have a disability that requires special assistance.

ADDITIONAL REGISTRANTS

Registrant 2

First Name
Last Name
Email