EPEC 6-12 Training Registration Your Information First Name * Last Name * School * School District and ISD (if applicable) Email Address * Daytime Number * Have you attended an EPEC training before? Yes No What is your level of experience with EPEC? Novice Some Experience Experienced Do you need to order EPEC materials? Yes No If yes, please contact us at firstname.lastname@example.org (email link). Do you require accommodations? Payment Information The cost of this training will be covered by MFF. Credit Card Billing Address Billing Address Street Address Street Address Apartment, suite, unit, etc. (optional) Apartment, suite, unit, etc. (optional) City City State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State ZIP Code ZIP Code Order Summary Coupon Code Price Subtotal Coupon Applied -$250 Total Paid Today Total Due Today We will send an invoice for the correct amount to your billing address.