Teacher's Workshop

/ Graduate Course /

Differentiated Instruction: Reading and Writing, Sunday thru Tuesday, November 9-11, 2003, Charleston Riverview Hotel, Charleston, South Carolina

Registration Form

(For room reservations, please call the Charleston Riverview Hotel at 800-968-3569.)

To register, simply print out and complete this form and fax or mail it in with your check or purchase order to:

The Teacher's Workshop 1250 Overlook Ridge, Bishop, GA 30621 1-800-991-1114 Fax: 706-769-4137

CREDIT CARD REGISTRATIONS: The great majority of our customers register with a check or with a copy of their purchase order submitted along with the registration form. We are also happy to accept your VISA or Mastercard payment. However, we cannot accept your credit card from our website. Please add your credit card number and expiration date to the completed registration form and fax to us at (706) 769-4137; or you may prefer to call us at (800) 991-1114.

Name:  ______________________________________________________
Title:   ______________________________________________________
School/District:   ______________________________________________________
Address:   ______________________________________________________
City:   _____________________State: ___________ Zip: ____________
Phone:   ______________________________________________________
Fax:   ______________________________________________________
Email:   ______________________________________________________


Early Bird by 10/1/2003



$249.00  ________________________________ ______________________
Aft. 10/15/2003  
$289.00  ________________________________ ______________________
One Day Registration  
$169.00  ________________________________ ______________________

1 Semester Hour - $89

 ________________________________ ______________________
* Conference Materials Kit at a over 15% Discount $74.95 (see below) ________________________________ ______________________


 ________________________________ ______________________
Cancellation Policy: There is a $50 processing fee for all cancellations. Cancellations must be received 15 days prior to the workshop. No cancellations will be accepted after this date.

/ Graduate Course /

* Conference Materials Kit consists of 3 books by conference authors. Actual books to be announced soon.