Programs and Events
Teacher Workshop Registration

Registration


Name of Workshop:  Teacher Seminar at PLU Powell & Heller Conference, March 18, 2011

Your First and Last Name:  

School:

Address/Delivery Address:


City:  State:  Zip:

Phone:

Is this your School or Home Address/Phone?
E-mail address:      

You are a... If other, please describe:


If you are a teacher, what subject and grade do you teach?


How did you hear about this program?


Have you attended previous programs through the Holocaust Center?
If possible, please let us know which one(s).


SUBMIT FORM & PAYMENT

1. Submit Form - To complete your registration, please hit send below. 

2. After submitting your form, make your registration payment of $20 -  After you have submitted this form, return to this page (or just click the "donate" button at the top of the page) to pay your registration fee online.  Or, please mail a check.  Your registration will be confirmed once payment has been received. 

 

PAYMENT OPTIONS - $20 Registration Fee:

1. Pay online - quick, easy, and secure. First, be sure to hit the "send" button above to submit your registration form.  (Your information will be lost when you navigate away from this page.)  Then return to this page and click the "pay now" button or just click the "donate" button at the top of the page.

2. Mail a check for $20 to:


Holocaust Center
Attn: PLU Teacher Seminar
2031 Third Ave. Seattle, WA 98121

Make the check out to "Holocaust Center."
Please include the name or date of the seminar on your check.
A confirmation email will be sent to you.