A.I. Essentials Workshop Registration

"*" indicates required fields

Personal Information

Name*

First Last

E-Mail Address*

Phone Number*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Is an organization paying for your workshop?*

Organization Information

Organization Name*

Organization Address*

Street Address City State / Province / Region ZIP / Postal Code

Organization Contact Person*

Organization Contact Person Email*

Organization Phone Number*

Payment

Payment Type*

Pay by credit card: $99.00

Invoice my business: $99.00

After you click the submit button below, you will be redirected to the payment gateway. Please go through the payment process completely, being sure to click on the "continue" button in Touchnet at the end, and save your payment confirmation email.

Please be sure to fill out your business' information above.

Total Cost

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