Cancellation and Refund Policy

Registrations cancelled more than 7 days in advance of an event will receive a 100% refund.

A 75% refund is given if a cancellation is received within 1 week of the event.

A 50% refund is given if a cancellation is received within 24 hours of the event.

This penalty is charged to offset the expenses to Pacific Crest resulting from the cancellation.
   

* denotes a required field
* Name
* Dept/Discipline:
* Institution:
* Work Phone:
  Home Phone:
  Fax:
* E-mail:

For multiple person or group registration, enter a contact person
or group representative in the fields at left and the remaining
names, separated by a comma, in the space below:

* Select Event:
Student Success Institute
    May 3-5, 2011 (Grand Valley State University, Allendale MI) $500
     Group Discount (team of 3): $1200

Developmental Mathematics Institute
    May 16-18, 2011 (Ivy Tech Community College, Indianapolis, ID) $500
    Group Discount (team of 3): $1200
Developmental Mathematics Institute
    July 11-13, 2011 (CC at Allgeheny County, Pittsburgh, PA) $500
    Group Discount (team of 3): $1200
* Method of Payment:
  Please bill me. Use the following Purchase Order number:
  A check made payable to "Pacific Crest" is being sent to:

Pacific Crest
906 Lacey Avenue, Suite 206
Lisle, IL 60532
* Payment Amount:

Form Verification (anti-spambot measure):

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Questions/Comments/Reasons for Attending: