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 Algebra thru Its History” by Dr. William Berlinghoff

____ “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.)

(You can print this page using Ctrl-P.)

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