Clerk Bootcamp

Fields marked with an asterisk (*) are required.

First Name *

Last Name *

Town *

County *

Position/Officer *

Address *

City *

State * Alabama Alaska Arizona Arkansas 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 Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip *

E-mail Address *

Phone Number * Please include area code

Total charges will include a $2.65 credit card processing convenience fee.

Cancellations received 10 days or more in advance of the bootcamp date will receive a full refund less a $15.00 administrative fee. Cancellations received less than 10 days in advance will be charged a $15.00 administrative fee plus the cost of the meal. Refund requests submitted 30 or more days after the event will not be processed.

Payment Information

Cardholder Name*

Billing Address*

Billing Zip*

Credit Card Number * No dashes or spaces, please.

Security Code * This will typically be on the back of your card.

Expiration Date * January February March April May June July August September October November December / 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035