Oxton House Publishers, LLC

P. O. Box 209, Farmington, ME  04938

  1-800-539-READ     Fax: 207-779-0623

 www.oxtonhouse.com     info@oxtonhouse.com

Workshop Registration Form

for Purchase Orders or check payments by mail
(Register and pay online with MasterCard, VISA, or Discover.)

Workshop (check one):

____ “Make Decoding Automatic!” by Dr. Phyllis E. Fischer

____ “Nimble Numeracy” by Dr. Phyllis E. Fischer

____ “Teach Decoding Fast!” by Dr. Phyllis E. Fischer
____ “Teach Math thru Its History” by Dr. William Berlinghoff
Location (city):  _________________________         Date:  ______________

Fee: _________, including continental breakfast and lunch.  See website for details.

Participant:  Name:  ________________________________________________

                    Mailing Address: _________________________________________
                                              _________________________________________
                                              _________________________________________
                    Phone: __________________  E-Mail:________________________

(for sending workshop

information)

___ Check enclosed

___ Purchase Order, as follows:

School or Organization:_____________________________________________

              Billing Address: _____________________________________________
                                      _____________________________________________
                                      _____________________________________________
              Contact Name & Phone: ______________________________________
              Purchase Order Number: __________________________

(Please FAX or mail P.O. with this registration form.)

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