Participants - If it is impossible for you to pay by credit card, please

PRE-PAY REGISTRATION FORM for
NO MARGIN FOR ERROR: SAVING OUR SCHOOLS FROM BORDERLINE TEACHERS
SEMINAR
Payment must be attached
Registration Fee: $75 per seminar
 No Margin for Error: Saving our Schools from Borderline Teachers Seminar – Circle your option below.
Seminar Subscribers – FREE
Non-Seminar Subscribers - $75
 Optional Resource: No Margin for Error Book - $15
(Both seminar subscribers & non seminar subscribers must pay for the book.
Name: __________________________________________________________________________________
Title: ______________________________________ Work Telephone: (______) _____________________
District:
______________________________________________________________________________
School:
______________________________________________________________________________
Address:
___________________________________
City/State/Zip ____________________________
Informal name for name badge: __________________
Email: __________________________________
 PAYMENT MUST BE INCLUDED WITH THIS PRE-REGISTRATION FORM 
Cancellation Policy: Cancellation requests must be emailed to [email protected] one (1) week prior to each
seminar. After the one week cancellation period, a $15 cancellation fee will be applied.
Registration Fee
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+
+
Optional Resource
__________________
______________________________________________________
Registrant’s Signature
=
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Total Amount Due
________________
_________________
Date
Method of Payment: (check one)
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
Personal check attached
District/School check attached
CHECK INFO:
School/District/Company_______________________________________________________________________
Date___________________
Check # ________________
Check Amount
$__________
MAIL THIS FORM WITH PAYMENT TO: SCASA, 121 Westpark Boulevard, Columbia, SC 29210