Workshop Registration

Are you a KCWE Member?*
- Yes
- No
Workshop*
Institution / Organization
Name*
First Last
Email Address*
Perkins-Eligible Program?*
- Yes
- No
Perkins Program Name and CIP Code (if known)
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Additional Entries
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Total Tickets
Payment
Registration Total
$0.00
Payment Method*
- Pay now
- Send me an invoice
- I will be covered by KBOR Perkins Funds
Credit Card
Card Details
Cardholder Name

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Payment