Convention Total School Pricing Form This form can be used to calculate and pay group rate pricing for the convention registration fee, lunch costs for convention attendees, licensure renewal fees or any combination of the three. All fees due on or before the convention. School Name*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Name First Last Email Convention Registration Group Rate (total cost = $5.50 X students enrolled)Enter the number of students currently enrolled in your school (K-12 students only, Pre-K not included)Registration Cost (unlimited number of attendees) Price: $0.00 Enter the total number from your school eating noon lunch 1st day of convention (if known)Lunch Fee Price: $0.00 Licensure Renewal CostTotal number registered for 1 licensure renewal credit (15 hours)Renewal Credit Fee Price: $0.00 Grand Total $0.00 Payment Options*Pay Online with Paypal (You will be redirected to Paypal for payment after clicking "submit")Pay by CheckPlease mail a check for the amount above to: Heartland Christian Schools 498 4th Ave NE Sioux Center, IA 51250 or bring the check to the convention. All fees due on or before the convention. After Submitting this form, please register your school under "Non-member Group Discount Ticket." Your school will be billed later. (Click to register)
