Home
Membership
conference
CREDENTIALING
education
Employment
workshop
books
online payment
Cart
0
Your Cart
$ 0.00 USD
Remove
No items found.
Product is not available in this quantity.
Test Preparation
Complete the form below to Register for the Test Prep Workshop held in Baton Rouge.
COMPLETE FORM
TEST PREP REGISTRATION FORM
Complete the form below to Register for the Test Prep Workshop held in Baton Rouge. Once you submit your form allow us 1-2 business days to run your card and complete your registration.
Which Test Prep Workshop are you registering for?
May 4th
September 14th
Name
Mailing Address (Street/Apt #)
City
State
Zipcode
Email Address
Cell Phone
Work Phone
Employer Name
Employer Address
Are you a LASACT Member?
Name on Card
Card Numbers
Billing Address
Billing Zip Code
Card Expiration Date
Security Code
Do you understand that your card will be charged $79 if you're a LASACT Member OR $99 if you're a Non-Member PLUS+ a $5 convenience fee?
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
.png){kind=small}
.png){kind=small}
