Leadership Seminar
Leave the following field blank, it is an anti-spam field.
Email address:
First Name:
Required
Last Name:
Required
School:
Required
Mobile:
Required
Email (required for confirmation):
Required
Special Requirements (e.g. dietary):
Payment Method
Are you an ACHPER member?
Yes
No
Required
If NO, include membership?
Yes
No
Payment Method:
Credit card (please contact the office with details)
Request school invoice (PO req below)
Request personal invoice
Required
Purchase Order No. (if required):
Cancellation Policy
I agree to the cancellation policy above
« Required