For Educators

Register for 10/29/2014 11:00am EST, Forensic Psychology

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Email Address

Registration Code

Forensic Psychology PLEASE NOTE ALL TIMES BELOW ARE LISTED IN EASTERN TIME (EST)

Event Date/Time

10/29/2014 @ 11:00am - 12:00pm

Please choose a test connection from the times listed below. PLEASE NOTE ALL TIMES BELOW ARE LISTED IN EASTERN TIME (EST). COSI suggests testing before your first session with us each school year. After that, you may opt out of the test connection. If you do choose to opt out and experience technical issues the day of the program, you may still be responsible for the full cost of the program.

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Test connection appointment time

This is the address where we will ship your kit of materials. No P.O. boxes please.

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Organization Name

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Email Address*

Phone Number*

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Fax Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Number of Students

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e.g.: 555-123-4567, or 555-123-4567 ext. 890

Fax Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Copy values from the previous contact.

Organization Name

Name

First

Last

Title/Role

Address

Street Address

City

State / Province / Region

Postal / Zip Code

Country

Email Address

Phone Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Fax Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Copy values from the previous contact.

Organization Name

Name*

First

Last

Title/Role

Address*

Street Address

City

State / Province / Region

Postal / Zip Code

Country

Email Address*

Phone Number*

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Fax Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Below are your estimated fees for this program. Your invoice will be emailed to the billing contact listed on your reservation.

  Estimated Total
$0.00
  Video Conference Connection @ $165.00   $165.00

Please add any additional information below (Ex: TWICE discount code, special shipping instructions, purchase order number).

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