Registration Form

How to register:
1. Complete the below Registration Form.
2. Submit your payment for tuition ticket(s). $200 per attendee. Payment may be made by credit card here or by mailing a check or purchase order.
3. Book your hotel, if needed.

Registration Form

First Name

Last Name

School Name

School Address

City

State

Zip Code

School Phone Number

School Billing Contact

School Billing Contact Email Address

Years Advising

Yearbook Name

Number of Pages

Book Size

Page-building Software

Current Publisher

Sales Rep's Name

Elite Weekend Location

List all attendees - advisers and students

If paying with credit card, please submit this form and then pay on the Pay Tuition page. If paying via check or PO, just hit the submit button and take the necessary steps below to submit a PO or send a check. Make checks payable to Walsworth and mail to: Walsworth Yearbooks Attn: Elite Weekend - Chase McPherson 306 N. Kansas Ave. Marceline, MO 64658 Email PO's to caprice.caster@walsworth.com Cost is $200 per attendee.

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