Teacher Conference Registration – 2019 « Colorado State Thespians

Teacher / Attendee Information

Prefix

Full Name*

Email*

Cell Phone*

School / Organization*

School / Organization Address*

Street Address Address Line 2 City State ZIP Code

School / Organization Phone*

Conference and Awards Dinner Tickets

You can purchase up to 5 tickets for people that will be attending BOTH Thursday night's Awards Dinner and Friday's Conference.

Please provide guest names and contact information of each additional attendee.

Dinner & Conference Tickets

Price: $150.00 Quantity:

Maximum of 5

Dinner & Conference Attendees

Please provide the requested information for each attendee. Click the Plus sign to add more attendees (maximum of 5).

Attendee Full Name

Attendee School / Organization

Attendee Address

Street Address Address Line 2 City State ZIP Code

Attendee Email

Attendee Phone

Thursday Night Awards Dinner

You can purchase up to 5 tickets for people that will be attending ONLY Thursday night's Awards Dinner.

Please provide guest names for each.

Dinner ONLY Tickets

Price: $60.00 Quantity:

Maximum of 5

Dinner ONLY Attendees

Please provide the requested information for each attendee. Click the Plus sign to add more attendees (maximum of 5).

Attendee Full Name

Attendee Email

Attendee Phone

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Billing Address*

Street Address City State ZIP Code

Comments

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