2-for-1: Registration Form - Education Wellness Conference

2-for-1 – Registration

Select Conference Location and Date
What is your organization name*
Type*
Contact Name*
This is the person who will receive all communication from the EDU Wellness Conference staff.
First Last
Phone*
Email*
Address*
Street Address City State ZIP Code
Number of Participants*
ONLY MARK 1 PARTICIPANT. Please only mark 1 participant in this section. This is a 2-for-1 registration form.
Participants*
Please enter the name and email of both participants. Clink on the + icon to add 2nd participant.
First Name Last Name Email Address Job Title School or Organization
Payment Method:*
Please Make Checks or Purchase Orders Payable to PCE Solutions
Conference Registration
Includes all workshops, snack breaks, and general sessions.
Price:
Total - (no refunds accepted)
Checks payable to PCE Solutions - Once Registration is received PCE will draft an invoice and send to contact for payment processing. A W9 form can be found in the contact link.
$0.00

First Name	Last Name	Email Address	Job Title	School or Organization