Literacy Connections Workshop Registration 2024

Name of Person Booking

Email of Person Booking

Name of School (if applicable)

Phone Number of Person Booking

Workshop or Event Registering For:

First Name

Last Name

Email

How did you hear about this professional development?

Professional Development and Events with Literacy Connections

I do not wish to receive information about professional development and events with Literacy Connections in the future.

Please tick this box if you DO NOT want to receive information about professional development and events with Literacy Connections in the future.

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Payment Method

Invoice Credit Card

Number of Attendees

Subtotal

+ GST

Total

incl. GST

Name on Card

Credit Card

Name of Person to Receive Invoice

First

Last

Email of Person to Receive Invoice

An invoice will be emailed following registration. Full payment is required before registration is confirmed.