Last Name_____________________________First Name_____________________________
Address________________________City_______________________State_____ZIP_______
Phone Number______________________E-mail____________________________________
Grade(s) you teach_______District Name________________School Name_______________
Is billing name/address same as above? Yes / No (circle) If no, please provide correct information below.
Correct billing name/address: _____________________________________________________________
Have you previously taken a course from Learner's Edge Inc.?
Yes / No (circle)
New address or new name?
Yes / No (circle) |
CIRCLE the courses you would like to register for:
| 505 | 506 | 523 | 608 | 615 | 644 | | 648 | 653 | 660 | 665 | 681 | 685 | | 693 | 704 | 705 | 706 | 716 | 717 | | 721 | 728 | 729 | 737 | 746 | 753 | | 760 | 766 | 842 | 846 | 853 | 854 | | 855 | 859 | 861 | 880 | 900 | 901 | | 910 | 915 | 964 | 966 | 969 | 970 | | 988 | 990 | 992 |
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Previous name/address________________________________________________________
Please CIRCLE the category that applies below AND the desired university:
Circle:
Augustana College / University of St. Thomas / Colorado State University - Pueblo / North Dakota State University
Individual
One 3 Cr. Course
Two 3 Cr. Courses, save $30
Three 3 Cr. Courses, save $60
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Total
$350
$670
$990
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Group of 3 or more teachers
One 3 Cr. Course, save $20
Two 3 Cr. Courses, save $50
Three 3 Cr. Courses, save $75
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Total
$330
$650
$975
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Group of 6 or more teachers
One 3 Cr. Course, save $30
Two 3 Cr. Courses, save $60
Three 3 Cr. Courses, save $90
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Total
$320
$640
$960
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Group of 9 or more teachers
One 3 Cr. Course, save $40
Two 3 Cr. Courses, save $80
Three 3 Cr. Courses, save $120
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Total
$310
$620
$930
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- Note: Group members DO NOT need to sign up for the same course or same number of courses
- Group registrations MUST be mailed/faxed together, no exceptions
- $30 processing charge for course cancellations
- 1 credit courses: $160
- Audit/Non-Credit Prices: $199 for 3 cr. course, $110 for 1 cr. course
- Allow up to 2 weeks for standard shipping
- Course offerings are subject to change. Prices valid through 1/31/09
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CHECK-OUT
| Standard Shipping |
Included |
In a hurry?
Priority Shipping add $5 |
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Course 717, 729 ONLY:
Add $10 materials fee each |
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Course 660, 746, & 970 ONLY:
Add $15 materials fee each |
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Courses 717 & 901:
Grades Taught |
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| International Orders add $20 |
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| Total for All Courses |
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Paid with Check #
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(payment must accompany registration) |
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Charge my VISA / MC / Discover: __________ - __________ - __________ - __________ Exp._____-_____
(Faxed registrations by credit card only)
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Signature:________________________________________________________
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CVC Number:________ |
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(3-digit code on back of card)
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Continuing education graduate credit is intended to fulfill requirements for license
renewal / lane change when the student has obtained prior approval from his / her
district personnel office.
___ I'm registering for Spring Session and coursework is due 4/15/09. Registrations
will be accepted through 3/31/09.
___ I'm registering for Summer Session and coursework is due 8/15/09. Registrations
will be accepted through 7/31/09.
Copyright © 2009 Learner's Edge Inc. All rights reserved. MM 0307.
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