<%@ Language=VBScript %> <% Response.CacheControl = "no-cache" %> <% Response.AddHeader "Pragma", "no-cache" %> <% Response.Expires = -1 %> <% If Request.ServerVariables("SERVER_PORT")=80 and InStr(1, Request.ServerVariables("SERVER_NAME"), "comdev")= 0 Then Dim strSecureURL strSecureURL = "https://" strSecureURL = strSecureURL & Request.ServerVariables("SERVER_NAME") strSecureURL = strSecureURL & Request.ServerVariables("URL") Response.Redirect strSecureURL End If %> <% Response.Buffer= true workshop = "1" 'Writing Traits Primamry - Culham subFlag = Request.Form("subFlag") if subFlag = "" then subFlag = 0 ' Response.Write "subflag:" & subFlag firstname = Request.Form("firstname") lastname = Request.Form("lastname") homeadd1 = Request.Form("homeadd1") homeadd2 = Request.Form("homeadd2") homecity = Request.Form("homecity") homestate = Request.Form("homestate") homezip = Request.Form("homezip") homephone1 = Request.Form("homephone1") homephone2 = Request.Form("homephone2") homephone3 = Request.Form("homephone3") homephone = homephone1+homephone2+homephone3 '--------------------------------------- schname = Request.Form("schname") schadd1 = Request.Form("schadd1") schadd2 = Request.Form("schadd2") schcity = Request.Form("schcity") schstate = Request.Form("schstate") schzip = Request.Form("schzip") schphone1 = Request.Form("schphone1") schphone2 = Request.Form("schphone2") schphone3 = Request.Form("schphone3") schext = Request.Form("schext") schphone = schphone1+schphone2+schphone3 '--------------------------------------- jobtitle = Request.Form("jobtitle") grades = Request.Form("grades") email = Request.Form("email") regconfirm = Request.Form("regconfirm") registrants = Request.Form("registrants") if len(trim(registrants)) = 0 then registrants = 0 payamount = Request.Form("payamount") addlregn = Request.Form("addlregn") paymethod = Request.Form("paymethod") ponumber = Request.Form("ponumber") authby = Request.Form("authby") cctype = Request.Form("cctype") 'ccnumber = Request.Form("ccnumber") 'ccexpmonth = Request.Form("ccexpmonth") 'ccexpyear = Request.Form("ccexpyear") ccholder = Request.Form("ccholder") billto = Request.Form("billto") if len(trim(firstname)) = 0 then strtxt = "First Name" end if if len(trim(lastname)) = 0 then strtxt = strtxt+", Last Name" end if if len(trim(homeadd1)) = 0 then strtxt = strtxt+", Home Address" end if if len(trim(homecity)) = 0 then strtxt = strtxt+", Home City" end if if len(trim(homestate)) = 0 then strtxt = strtxt+", Home State" end if if len(trim(homezip)) = 0 then strtxt = strtxt+", Home Zip" end if if len(trim(schname)) = 0 then strtxt = strtxt+", School Name" end if if len(trim(schadd1)) = 0 then strtxt = strtxt+", School Address" end if if len(trim(schcity)) = 0 then strtxt = strtxt+", School City" end if if len(trim(schstate)) = 0 then strtxt = strtxt+", School State" end if if len(trim(schzip)) = 0 then strtxt = strtxt+", School Zip" end if if len(trim(schphone)) < 10 or len(trim(homephone)) < 10 then strtxt = strtxt+", School/Home Phone" end if if len(trim(regconfirm)) = 0 then strtxt = strtxt+", Where would you like your registration confirmation sent?" end if if len(trim(registrants)) = 0 or cInt(registrants) < 1 then strtxt = strtxt+", Number of Registrants" end if if cInt(registrants) >= 3 and len(trim(addlregn)) = 0 then strtxt = strtxt+", Additional Registrants" end if if len(trim(paymethod)) = 0 then strtxt = strtxt+", Payment Method" end if if paymethod = "PO" and len(trim(ponumber)) = 0 then strtxt = strtxt+", Purchase Order Number" end if if paymethod = "PO" and len(trim(authby)) = 0 then strtxt = strtxt+", Authorized by" end if if paymethod = "CC" and len(trim(cctype)) = 0 then strtxt = strtxt+", Credit Card Type" end if if paymethod = "CC" and len(trim(ccholder)) = 0 then strtxt = strtxt+", Cardholder Name" end if if len(trim(billto)) = 0 then strtxt = strtxt+", Billing Address" end if if left(strtxt,1) = "," then strtxt = right(strtxt,(len(strtxt)-1)) end if strtxt = "" & strtxt & "
" if subflag = 1 then msgs="Some required information is missing:

" & strtxt & "
" & "Please make sure you have provided all required information below. Then, submit the form again." elseif subflag = 2 then msgs="You typed two different e-mail addresses.

Please make sure you have typed the same e-mail address in both spaces below. Then, submit the form again." elseif subflag = 3 then msgs="The format of the e-mail address you supplied is not correct. You may be missing an "@" or a "." or you may have accidently included a space. Please provide your full e-mail address and be sure there are no spaces, e.g.teacher@aol.com.

Please fix the e-mail address below. Then, submit the form again." elseif subflag = 4 then msgs="Invalid Home Zip Code." elseif subflag = 5 then msgs="Invalid School Zip Code." elseif subflag = 6 then msgs="Invalid Home Phone Number." elseif subflag = 7 then msgs="Invalid School Phone Number." elseif subflag = 8 then msgs="credit card number you entered is not valid" elseif subflag = 9 then msgs="credit card expiration date you entered has passed." else msgs="" end if %> Scholastic.com | Scholastic Teaching Resources Workshop: Ruth Culham <% doMenu %>
Your opportunity to work with Ruth Culham and learn how to use the traits in your primary classroom!
THE TRAITS OF WRITING

REGISTRATION FORM

Required information is shown in boldfaced type and is preceded by an asterisk (*). Our Privacy Policy is available for your review. If you prefer, you can get a printable version of the form (PDF) and register by mail.
<%=msgs%>
* First Name:
* Last Name:
*Home Address:
Home Address line 2:
*City:
*State:
*ZIP:
* School Name:
*School Address:
School Address line 2:
*City:
*State:
*ZIP:
Job Title (Optional):
Grade Levels (Optional):
*School Phone: ( ) - -
Extension:
*Home Phone: ( ) - -
Email:

* Where would you like your registration confirmation sent?
checked<%end if%> value="home" > Home checked<%end if%> value="school" > School

Individual Cost for the workshop: $175 per person
Groups of 3 or more for the workshop: $159 per person
* Number of Registrants:
Payment Due:$
For groups or 3 or more, please list the names of each individual with whom you'll attend the workshop along with each registration form.


Payment Information
 All registration forms must be accompanied by a payment information.
*Select Payment Method: checked<%end if%> value="CC" onClick="setPM()"> Credit Card checked<%end if%> value="PO" onClick="setPM()"> Purchase Order
Purchase Order Number:
Authorized by:
 
Please charge my credit card
Credit Card:
Cardholder Name:
*Billing Address: checked<%end if%> value="home"> Home checked<%end if%> value="school"> School

NOTE: A Scholastic representative will be in touch with you for further credit card information not provided on this form.

Workshop Date: April 18, 2006
Deadline Date: April 4, 2006


Click here to submit your registration form electronically
For more information
Call 1-503-372-0600 or Fax 1-503-372-9848.

Cancellations/Substitutions
Cancellations must be made by phone, fax, or email by April 4,2006 in order to receive a full refund. If we are not notified of a cancellation, there is no refund. Substitutions can be made at any time, including the day of the workshop.


(PDF)
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