The Magic of Why: Stories of Purpose 2019

Date(s)/Time(s):    Wednesday, June 12, 2019 @ 3:00 PM-8:00 PM
Thursday, June 13, 2019 @ 8:00 AM - 6:00 PM
Friday, June 14, 2019 @ 8:00 AM - 3:00 PM
Location:  
Hilton Columbus at Easton
3900 Chagrin Dr.
Columbus, OH  43219
 

YOUR INFORMATION
First Name* M.I. Last Name*
E-mail Address* Job Title
How did you hear about this event?
 
SCHOOL INFORMATION
         
  Enter your ZIP code to display a list of schools in your area:*   
         
 
SELECT YOUR REGISTRATION TYPE, ATTENDEES, & OPTIONS
You may register up to 10 attendees on this registration form. 
 
Attendee #1:

Name: *
Title: *
E-mail: *
Twitter:
Attendee #2:

Name: *
Title: *
E-mail: *
Twitter:
Attendee #3:

Name: *
Title: *
E-mail: *
Twitter:
Attendee #4:

Name: *
Title: *
E-mail: *
Twitter:
Attendee #5:

Name: *
Title: *
E-mail: *
Twitter:
Attendee #6:

Name: *
Title: *
E-mail: *
Twitter:
Attendee #7:

Name: *
Title: *
E-mail: *
Twitter:
Attendee #8:

Name: *
Title: *
E-mail: *
Twitter:
Attendee #9:

Name: *
Title: *
E-mail: *
Twitter:
Attendee #10:

Name: *
Title: *
E-mail: *
Twitter:
PAYMENT INFORMATION
Amount Due:  $
Discount Code:  Validate Code
 
Payment Method:
Name on Credit Card:*
Billing Address:*
 (Optional Line 2):
City, State, ZIP:*   
   
Credit Card Type:* 

Card Number:* 

Security Code (CVV/CVC/CID):* 

(last 3 digits on reverse of card)

Expiration Date:* 
 

/