Last Name


First Name


Teaching Certificate Number


School Currently Teaching At



School Mailing Address Home Mailing Address

Street Address


City/Town

Province

Postal Code

Telephone (Home)


Telephone (School)


School Fax

E-mail Address

Workshop/Conference

Name of Workshop/Conference

Location

Date(s)

Registration Disclaimer

I understand the information on this form will be used for the purpose of processing my registration, conference payment, and generating statistical information related to this conference.

I understand

Registration Information

Payment must accompany registration.

Payment

Payment Options:

Cash/Debit 
Cheque
Money Order
Purchase Order (School Divisions only)
Visa
MasterCard

Credit Card Number

Expiry

CVV/CVC Code*

* This 3-digit number is found on the signature strip on the back of your card and is required to process your payment. Please submit this code in the space provided or call the Saskatchewan Teachers’ Federation office with the number. The STF does not keep credit card information on file. This section will be destroyed after your registration is processed.

Confirmation:
A confirmation will be sent to you upon receipt of your registration.

For further information please contact:

Saskatchewan Professional Development Unit
Saskatchewan Teachers' Federation
2317 Arlington Ave, Saskatoon SK S7J 2H8
Phone: (306) 373-1660 or 1-800-667-7762
Fax: (306) 374-1122

E-mail: registration@stf.sk.ca