TLC 2.0 Aug. 28 & 29 AND Nov. 6 & 7, 2019

Technology Leadership Certification 2.0 

August 28 & 29 AND November 6 & 7, 2019

Webinar Dates TBA



Participant Details


First Name:
 

Last Name:
 

Participant Email Address:
 

Phone Number:
 

Your Title / Position:
 



School Information


Indiana School District:
 

School Building:
 



Accommodations Needed


Special Accommodations:
Please list any special accommodations needed for the day
 

Dietary:
Please list any dietary accommodation needed for the day
 


Attention ESC Members! After selecting your school district, a discount will be applied to the price reducing the cost to $325

See you August 28 & 29 AND November 6 & 7, 2019

Lunch not included.

 



Payment Options

Amount Due: $550.00

Please enter your credit card number. Your card will be charged $550.00
We accept Visa and Mastercard
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Billing Details
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PO Number
Billing Street Address
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Special Instructions:

 

Upon receiving the CIESC invoice, please mail your name, address, phone number and payment to:
CIESC Accounts Receivable
3500 DePauw Blvd. Pyramid Two- Suite 2020            Indianapolis, IN 46268

 

Billing Details
Email
PO Number
Billing Street Address
City
State
ZIP
Country

Special Instructions:

 

Upon receiving the CIESC invoice, please mail your name, address, phone number and payment to:
CIESC Accounts Receivable
3500 DePauw Blvd. Pyramid Two- Suite 2020            Indianapolis, IN 46268