REQUEST FOR PAYMENT RECEIPT


Many school districts will accept the bottom portion of your letter of confirmation as a receipt. If you NEED a payment receipt, complete the following information.

Name: _

Social Security Number: _

Check the course for which you need a receipt:



Differentiated Instruction for Today’s Classroom
Brain-Based Ways We Think and Learn
Building Communication and Teamwork in the Classroom
Teaching Through Learning Channels
Designing Motivation for All Learners
Achieving Student Outcomes Through Cooperative Learning
Teaching the Skills of the 21st Century
Discovering the Power of Live Event Learning
Purposeful Learning Through Multiple Intelligences
Meaningful Activities to Generate Interesting Classrooms
Building Your Technology Education and Skills
Successful Teaching for Acceptance of Responsibility
Behavioral, Academic, and Social Interventions for the Classroom
Merging Educational Goals And Interactive Multimedia Projects
Collaborative Inquiry for Students
Classroom Management: Orchestrating a Community of Learners
Reading Across the Curriculum
Location of Course:



Instructor's Name:

Amount Paid:


PLEASE MAIL THIS REQUEST FORM WITH A SELF-ADDRESSED STAMPED ENVELOPE TO:
ATTN: Tracey Rager
Performance Learning Systems, Inc.
72 Lone Oak Drive
Cadiz, KY 42211


THE INSTRUCTOR CANNOT SEND THIS FOR IN.