Cambridge School Improvement Workshop Registration Form
Mail/fax to Cambridge, 2720 River Rd #36, Des Plaines, IL 60018; Fax:
847-299-2933
| Name/Title | Name/Title | |
| School | School | |
| Address | Address | |
| City/State/Zip | City/State/Zip | |
| Phone/Fax | Phone/Fax | |
| Workshop Location Attending | Workshop Location Attending |
Registration Fees:
Number of non-profit registrants _____ x $35.00 (or 3 for $100)
Number of for-profit registrants _____ x $250.00
Total $ ___________
Payment Options: Please check next to the appropriate option.
Registration deadline is one week; three-day advance cancellation required.
____ No fee applies (Current Cambridge Partner Instituation)
____ Check/Money Order enclosed (made payable to Cambridge)
____ Purchase Order #: _____________________________
____ Charge to Credit Card (Visa/MC only) Card #:
_____________________ Exp. Date ______
CVV Number (last three digits on back of card) __________