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Autism Workshop

Online Registration


 

Please register for the Autism Workshop using the form below. If you have multiple people from your business who wish to attend, each person will need to complete an online registration form.

 

Workshop Fees:

 

$175 per 3 EDPD credits
$310 per EDPD 6 credits
$40 (non-teachers)

 

Fee includes: credits, meals, and workshop materials.
(EDPD credits are not available for non-teachers.)

 


 

Registrant Information:
 
Salutation:
   
First Name:
   
Last Name:
   
E-mail:
   
Title:
   
Street Address 1:
   
Street Address 2:
   
City:
   
State/Province:
   
Zip/Postal Code:
   
Country:
   
Phone:
   
Cell:
Affiliation:
   
Does this registrant require special assistance? If so, please describe:
 
 
Emergency Contact Information  
   
Name:
   
Relationship:
   
Phone:
   
 

 

Payment and cancellation policy

 

To make a credit card payment prior to the workshop, please contact Shepherd's Business Office at 304-876-5284. A payment made by money order or check must be written for the exact amount. All checks must be payable to Shepherd University. If mailing the payment, please send to the following address:

 

Shepherd University
c/o Enrollment Management
P.O. Box 5000
Shepherdstown, WV 25433

 

Payments may also be received the day of the workshop. Cash payment will not be accepted unless for the exact amount.

 

Receipt of the workshop fee will confirm a spot has been reserved for you.

 

Substitutions of business representatives may be made at any time. However, due to contractual obligations, limited space, and to anticipate attendance for the conference materials, a cancellation fee of 50 percent of the workshop fee will be assessed for cancellations received after November 9, 2012, or 100 percent for those who fail to attend.

 

 

                       

Graduate Studies and Continuing Education | P.O. Box 5000 | Shepherdstown, West Virginia | 25443-5000 | 304-876-5313 | 800-344-5231