MI High School Cyber Summit Registration Michigan High School Cyber Summit Registration 2023 Michigan High School Cyber Summit registration for October 19, 2023. Contact First Name*teacher, chaperone, or school representative Contact Last Name*teacher, chaperone, or school representative School Name* School Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Contact Phone* Contact Email* Registration OptionsTotal Number of AttendeesPlease include the total number of attendees, including students and chaperone/teacher/ school representative. You may register a maximum of 25 students plus one school representative. Cost is $35 per person Price: $35.00 Quantity: Attendee NamesPlease list all attendees, beginning with the school representative. One per line, add lines as needed.FirstLast Total $0.00 Payment InformationCredit card payment is preferred, but if an alternative payment method is required, please contact Leslie Smith at 248-353-0735, ext. 152. NOTE: Credit card charges will appear on statements as being from ESD, The Engineering Society of Detroit.Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name
