TLA 2.0 Cohort 4 Oct. 9 & 10, 2019 & Feb. 18 & 19, 2020

TLA 2.0 Cohort 4 October 9 & 10, 2019 AND February 18 & 19, 2020 With Laurie Ferry & Duke Lines  

CIESC 

Pyramid Two- Suite 2020

3500 Depauw Blvd.

Indianapolis, IN 46268

 

 



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
 


Cost: $550

Attention ESC Members! After selecting your school district, a discount will be applied to the price reducing the cost to $325.00, Lunch not included. 

See you October 9 & 10, 2019 AND February 18 & 19 2020 from 8:30 am to 3:30 pm!

CIESC

Pyramid Two- Suite 2020

3500 Depauw Blvd.

Indianapolis, IN 46268

 



Payment Options

Amount Due: $550.00

Please enter your credit card number. Your card will be charged $550.00
We accept Visa and Mastercard
Credit Card Details
Card Number
CVV
Expiration Date
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Email
Name
Street Address
City
State
ZIP
Country

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 

CIESC

Pyramid Two- Suite 2020

3500 Depauw Blvd.

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 

CIESC

Pyramid Two- Suite 2020

3500 Depauw Blvd.

Indianapolis, IN 46268