SecurED Schools 2023 Conference

January 18-19, 2023 | Online | $40

Contact Details

First Name

Last Name

Phone Number

IEIN Number

** ReType Email

Job Title

Primary Performance Responsibility

Are you presenting at SecurED Schools Conference?

YesNo

Organization

Type of Organization

Illinois Education Organization (i.e., school district, private school, ROE/ISC, association, etc.)Non-Illinois Education OrganizationVendorIndependently Employed or Retired

Select Your Organization

If your institution is not listed, it may be included under a different name. To request an Illinois organization be added to the list, please email support@ltcillinois.org.

Name of Vendor or Non-Illinois Organization

Address

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Billing

Total Due

Billing

Please provide your home address.

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Please provide your district billing address.

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Additional Details

I acknowledge that failure to cancel at least 2 business days prior to the event will result in forfeit of registration fee.

I would like to sign up for the LTC newsletter.

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Account - Assigned for Manual Review

Account - Independent/Retired

Account - Illinois Org ID

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