Registration and Payment by Check – Individual Registrations Only

Individual Registration Payment - Payment by check may ONLY be accepted for individual registrations in amount of $250.

Payment for Multiple Individuals - Payment must be made by credit card or with a purchase order. To register for the conference and pay by check, please provide the information requested below.

If you have questions, please contact Paula Weeks at 1-877-873-7232 Ext 2313.

Name
Email
County/School District
School or Business
(if applicable)
Street Address
City, ST, Zip Code
Phone Number

Click the “Submit” button below to generate your invoice.

Please print the invoice and mail it with your check payable to:
FloridaLearns Foundation, Inc.
P.O. Box 243
Chipley, Florida 32428