MULTI-PAY Language & Literacy Institute

Multi-Registration Credit Card Payment:
Language & Literacy Institute

THIS IS NOT A REGISTRATION FORM. All staff listed on this payment form must register individually by filling out the Language & Literacy Institute registration form.
Upon submission of this form, you will be brought to the PayPal portal where you can pay with either your credit card or your PayPal account.
- NOTE: Be sure to log out of your PayPal account if you’re paying with a credit card.

Submitter Information
Your Name*
First Last
Your Email*
Enter Email Confirm Email
Registrant Information
Please provide the following information for the registrants for whom you are paying.
ABE Program/Consortium/Site of Registrants*
NOTE: This list was just updated and re-alphabetized!
OTHER: If not listed above - what is your registrants' ABE program?*
Do you have any ONE-day registrants to pay for?*
- Yes
- No
ONE-DAY REGISTRANTS Quantity*
Price: $35.00
ONE-DAY REGISTRANT INFORMATION*
First Name Last Name Email
Do you have any TWO-day registrants to pay for?*
- Yes
- No
TWO-DAY REGISTRANTS Quantity*
Price: $45.00
TWO-DAY REGISTRANT INFORMATION
First Name Last Name Email
Payment Information
NOTE: This form is for paying by credit card or PayPal only.
Total L&L2025 Registration Fees
(automatic calculation)
$0.00
I understand that the individuals listed on this form must REGISTER separately; this form is only for payment.*
- Yes
- No

First Name	Last Name	Email

First Name	Last Name	Email