2020 Shakespeare's Birthplace Trust Registration

2020 Shakespeare's Birthplace Trust Registration

There is a $500 deposit required to reserve your place at Shakespeare's Birthplace Trust. This payment is non-refundable and will be used toward your program fee.

You will be redirected to PayPal upon completion of this form. You will not need to create a PayPal account in order to use your credit card. 

Balance must be paid in full by April 9th, 2020. 

If you have any questions, please contact Betty Trevino-Roth at btrevinoroth@esuus.org or call 212-818-1200 ext. 246.

Indicates required field (*)

Name: *	First name: * Last name: *
Email: *
Cell Phone: *
Alternate Phone: *
Are you currently a classroom teacher? *	Yes  No
Please select a reservation. *	Single Occupancy  Double Occupancy
If you have selected "Double Occupancy," please fill out the following information for the second occupant:
Name: *	First name: * Last name: *
Email: *
Cell Phone: *
Alternate Phone: *
To reserve your place at Shakespeare's Birthplace Trust, please select one (1) reservation below and make the mandatory $500 deposit.
*	If attending, please select the number of Reservations required: There is a 1 Reservation limit. 0 1 Reservations @ $500 each
You will be redirected to PayPal upon completion of this form. You will not need to create a PayPal account in order to use your credit card.
Billing Address: *	Line 1: * Line 2: * City: * State: * Select one... Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon ZIP: *
If you have received a discount code, please enter it below. Any discount will be reflected in your final invoice.
Discount Code: *