1. Please fill out the form below Note, payments by check are for individuals at the $200 amount only. Payments for multiple people are to be done by credit card, purchase order, or contact Gail Obert at
1-877-873-7232 Ext 2260.

Will you also be attending the Superhero Strategies for Extraordinary Student Learning Pre-Conference at no extra charge?


Name:

Email:

County/School District:

School or Business (if applicable:)

Street Address:

City, ST, Zip Code:

Phone:


2. Click the Submit button below to generate the invoice. Then print the invoice out and mail it along with your check payable to:

FloridaLearns Foundation, Inc.
P.O. Box 243
Chipley, Florida 32428