Group Registration

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1-(800)-370-3574

: To Register (Groups of 3-5):

Step 1: Please enter and submit all information.

Step 2: Payment
a) To pay by credit card, enter your card # into the fields below.
b) To pay by purchase order, submit registration, then thtthen please fax P.O. to (503)-977-2941 or mail to:
CET, 1825 Englewood Court. Lake Oswego, OR 97034

Step 1

First Name * Person making registration		Last Name * Person making registration

Street Address (for Billing) *		Apt./Suite #

City *		State *		Zip Code *

Primary Phone * With area code		Secondary Phone With area code

Fax #		E-Mail Address

District		School

City and Date of Seminar *		Price: *

Attendee 1

First Name 1 *		Last Name 1 *		Phone *

Street		City

State *		Zip *		Grade (or Title)

Attendee 2

First Name 2 *		Last Name 2 *		Phone *

Street		City

State *		Zip *		Grade (or Title)

Attendee 3

First Name 3		Last Name 3		Phone

Street		City

State		Zip		Grade (or Title)

Attendee 4

First Name 4		Last Name 4		Phone

Street		City

State		Zip		Grade (or Title)

Attendee 5

First Name 5		Last Name 5		Phone

Street		City

State		Zip		Grade (or Title)

Step 2

Method of Payment *		Purchase Order # & billing address A copy must still be faxed or mailed.

Card		Card #		Security # *		3 Digits		EXP Date

Name on Card/Billing Address

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