Workshop Registration

Complete all required information on the form below and click on Register.

If a workshop session is full, you need to enroll on the waiting list. You can reach us at 800.495.1266 or 541.346.3872 for further assistance.

Step 1: Enter Contact Information

	Fields marked with an asterisk (*) are required.
	Tip:  Use the TAB key to move between fields.
*	First Name		**
*	Last Name		**
*	Title		**
*	School, College, or Agency		**
	Department
*	Address 1		**
	Address 2
*	City		**
*	State	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY	**
*	Zip Code		** **
*	Phone Number		**
*	E-mail		**

Step 2: Choose Workshop Location

-- Please select an option --    Please choose a workshop.