The 2008 OTSEA Spring Webinars are April 24th and May 15th, 2008

PRE-REGISTRATION FORM

 

These two webinars are provided with your Fall Conference registration monies. If you did not attend the Fall Conference, you will need to check the payment box and send payment in to OTSEA to guarantee a spot at the webinar.

Please fill in this form completely. Your registration may not be processed if information is missing. Your registration will be complete upon receipt of your payment.

 

When you hit SEND, You might see either or both of these, it's O.K.

Name
Home Address
City, State, Zip
Home Phone
Home Email
Name of School or Organization
Work Address
City, State, Zip
Work Phone
Work Email
Please list any special accommodations you need
I am interested in...
April 24, 2008 Webinar ($20 non "fall conference" fee) PART ONE May 15, 2008 Webinar ($20 non "fall conference" fee) PART TWO
Non "Fall Conference" Payment (Mark all that apply):
April 24, 2008 (Part One) Non "Fall Conference" Fee - $20 May 15, 2008 (Part Two) Non "Fall Conference" Fee - $20
Payment Options
Check or Money Order (made payable to OTSEA) * Employer Purchase Order * Coming Soon!
NOTE: If you are not sure of your Fall Conference attendance, you may email us at info@otsea.org to find out before you register for the webinar(s). Please include this amount in your payment.
* Please mail your check, money order or purchase order to:
Sharon Rothacker, OTSEA Treasurer, P.O. Box 1026, Winston, Oregon 97496

For Startup Design and support, Thank you! to Oregon Coast Graphics.
Copyright © 2005 Oregon Traffic Safety Education Association - All rights reserved.