Singapore Math In-Depth Summit Registration
July 12-14, 2017
Embassy Suites
4415 E. Paradise Village Pkwy S
Phoenix, AZ 85032

Registrations are closed for this year. We hope to see you next year!
 
For the following questions, please provide the contact information for the attendee. This information will be used for confirmations and updates regarding the Summit.

 
First & Last Name *

 
Phone Number *

 
Please select the options which best describe your current role & which grades you work with.


 
How did you hear about the Summit?


 
Will you attend on July 12, 2017? *

     
 
What is your first choice for the 9:45 - 11:30 slot on July 12? *


 
What is your second choice for the 9:45 - 11:30 slot on July 12? *


 
What is your first choice for the 12:30 - 2:30 slot on July 12? *


 
What is your second choice for the 12:30 - 2:30 slot on July 12? *


 
What is your first choice for the 2:45 - 4:00 slot on July 12? *


 
What is your second choice for the 2:45 - 4:00 slot on July 12? *


 
Will you attend on July 13, 2017? *

     
 
What is your first choice for the 8:30 - 9:45 slot on July 13? *


 
What is your second choice for the 8:30 - 9:45 slot on July 13? *


 
What is your first choice for the 10:00 - 11:30 slot on July 13? *


 
What is your second choice for the 10:00 - 11:30 slot on July 13? *


 
What is your first choice for the 12:30 - 2:15 slot on July 13? *


 
What is your second choice for the 12:30 - 2:15 slot on July 13? *


 
What is your first choice for the 2:45 - 4:00 slot on July 13? *


 
What is your second choice for the 2:45 - 4:00 slot on July 13? *


 
Will you attend on July 14, 2017? *

     
 
What is your first choice for the 8:30 - 9:45 slot on July 14? *


 
What is your second choice for the 8:30 - 9:45 slot on July 14? *


 
What is your first choice for the 10:00 - 11:30 slot on July 14? *


 
What is your second choice for the 10:00 - 11:30 slot on July 14? *


 
What is your first choice for the 12:30 - 2:15 slot on July 14? *


 
What is your second choice for the 12:30 - 2:15 slot on July 14? *


 
What is your first choice for the 2:45 - 4:00 slot on July 14? *


 
What is your second choice for the 2:45 - 4:00 slot on July 14? *


 
Verify the number of days that you have selected. *

You selected that you would attend:
July 12, 2017 - {{answer_41256668}}
July 13, 2017 - {{answer_41256669}}
July 14, 2016 - {{answer_41256671}}

Enter the number of days that you entered "yes" you will attend.
 
Do you have a discount code? *

     
 
Enter the discount code below.

You will see the discount applied on the next screen. If you do not enter a valid code, the discount amount will be $0.
 
Please review your information and go back through the form if you need to make changes.

Name: {{answer_41256641}}
Email: {{answer_41256644}}
Phone Number: {{answer_41256642}}

You are registered to attend {{answer_41256673}} day(s) of the Summit:
     July 12 - {{answer_41256668}}
     July 13 - {{answer_41256669}}
     July 14 - {{answer_41256671}}

Discount applied: ${{var_score}}
Your total cost for the Summit is {{var_price}}.

Your payment information will be collected after you confirm this information.
 
Payment Method *


 
You have selected to pay via Check.

Please make your check payable to:
SMARTTraining NOW
10221 N. 32nd St. Suite A
Phoenix, AZ 85028

Your check must be received in order to complete your registration.
 
Do you have a digital copy of your purchase order currently available? *

If you select no, the next page will contain the contact information for submitting a copy of your PO.
     
 
Upload a copy of your Purchase Order to submit with your order.

 
Name of the District or Entity issuing the PO *

 
You have selected to pay via Purchase Order.

Please mail, email, or fax a copy to:
SMARTTraining NOW
10221 N. 32nd St. Suite A
Phoenix, AZ 85028

info@singaporemathtraining.com

fax: 602.926.8363

A copy of your PO must be received in order to complete your registration.
 
Your fee for {{answer_41256673}} day(s) of registration is: {{var_price}} *

You will be registered to attend:
     July 12 - {{answer_41256668}}
     July 13 - {{answer_41256669}}
     July 14 - {{answer_41256671}}
 
Please enter your Credit or Debit Card number: *

 
The CVC number: *

(3 or 4 digit security number on the back of your card)
 
The name on your card: *

 
Your card's expiry month: *


 
Your card's expiry year: *


 
*Changes, Cancellations & Refunds Policies *

Changes: There is no fee to change the name associated with a registration.
There is no fee for a session change but we cannot guarantee space after initial confirmation as seats are awarded first come first serve.

Cancellations & Refunds: 
Cancellations made before July 1, 2017 are 100% refundable. Any cancellations made on or after July 1, 2017 will be refunded registration fees less any non-recoverable costs incurred by SMARTTraning NOW.
Non-recoverable costs are as follows:
     1-day registration: $100
     2-day registration: $125
     3-day registration: $150
     
Thank you for registering for the 2017 Singapore Math In-Depth Summit. You will receive an email summarizing this registration from notifications@typeform.com. Please check your junk/spam folders.

Upon receipt of payment or a copy of your PO, you will receive a separate follow-up email from info@singaporemathtraining.com containing your session confirmations. For questions or inquiries, please feel free to contact us at the information below.

Make payable to:
SMARTTraining NOW
10221 N. 32nd St. Suite A
Phoenix, AZ 85028
phone: 602.570.1942
fax: 602.926.8363
info@singaporemathtraining.com

Name: {{answer_41256641}}
Email: {{answer_41256644}}
Phone: {{answer_41256642}}

You registered for {{answer_41256673}} day(s) of the Summit for a total price of {{var_price}}.

Registered for July 12? {{answer_41256668}}
Registered for July 13? {{answer_41256669}}
Registered for July 14? {{answer_41256671}}
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