2024 SI Registration - Literacy Action Network

Registrant's Name*

First Last

Registrant's Email Address*

Program or Organization*

Are your attendees LAN members?*

Members: $60.00 per attendee. Non-Member: $120.00 per attendee. If you are not sure, please check the current member list at literacyactionnetwork.org/membership. If you register as member and you are not, LAN will bill you the difference and hold your registration.

Yes
No
Not sure

Attendee's Information*

Enter a new line for each attendee. Include the email associated with their Sched account.

First Name	Last Name	Email Address

Would you like to request for ASL interpretation?

Yes
No

Payment Method*

Credit Card
Invoice

Comments

This field is for validation purposes and should be left unchanged.