Registration Form

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Registration Form

Event Details

Event Name

Location

Start Date

Start Time

Event Fee

Please log into the LTC Account Portal to register for this event.

Thank you for your interest in this event. At this time, event registration is limited to educators, school and district leaders, and technology professionals directly supporting K-12 schools.

Based on the information provided, it appears that your organization does not meet the eligibility requirements for this event. If you believe this is an error or would like to explore other opportunities to engage with the LTC, please visit ltcillinois.org or contact our team for assistance.

We appreciate your understanding and look forward to future opportunities to collaborate!

Unfortunately the capacity for this event has been reached. At this time we are not accepting registrations for our waitlist.

Unfortunately the capacity for this event has been reached. At this time we are accepting registrations for our waitlist. Complete the form below to be added to our waitlist, and we will contact you if a spot opens up.

This event has been canceled. Please contact events@ltcillinois.org with questions.

Registration is closed.

Organization

To change your organization, please visit the LTC Account Portal at ltcillinois.org/account.

Contact Details

First Name

Last Name

Phone Number

To change your organization, please visit the LTC Account Portal at ltcillinois.org/account.

Job Title

IEIN Number

Billing

Please provide your home address.

Please provide your district billing address.

Billing Contact Name

Billing Contact Email

Address

City

State

Zip

Cardholder Full Name (First and Last)

Cardholder Email Address

Credit Card Number

Expiration Date Month

Expiration Date Year

CVV

Additional Details

Event Terms

I acknowledge that I have read and agree to the above terms.

EventID

ContactID

AccountId

Default Email Validation Text

Conditional Picker

Registration Cost

Target Audience

LTC Event Website Confirmation Page

LTC Event Registration Form

Event Status

Account Industry

Event Audience