Our Registration Deadline

Has Been Extended!

Registration Fee: $50.00



All fees are due on or before the first day of the PBIS Leadership Forum. We accept credit cards, checks, money orders, and purchase orders. All payments must be in US dollars and should be made payable to West40-MW PBIS. Please submit your check, money order, or Purchase Order payment to:

Midwest PBIS Network c/o West40 ISC #2
4413 Roosevelt Rd #104
Hillside, IL 60162

Tax ID: 56-2380666

Invoices

Invoices will be automatically generated at the conclusion of registration and may be displayed, downloaded, printed, or shared via email by clicking the "Receipt/Invoice" button after your registration has been submitted. Invoices may be accessed at any time after registration by clicking the link in your registration confirmation email. When accessing from the confirmation email, you will be required to enter your registration confirmation number.

IMPORTANT NOTE: Please make sure you submit the invoice to your business office for payment. No copies of your invoice will be sent via email or US mail. Billing information collected during registration will be used to send balance due statements on unpaid registrations only.

Substitutions & Session changes

Substitutions and session selection changes can be made at any time, including the days of the event.

Return your completed form to support@midwestpbis.org .

Cancellation Policy:

Cancellations received in writing via email (support@midwestpbis.org) or via mail to 4412 Roosevelt Road, Suite 104, Hillside, IL 60162 by October 18, 2021, will be refunded minus a 5% registration service charge to cover non-refundable expenses to the Midwest PBIS Network. Please note that if you do not cancel and do not attend, you are still responsible for payment. Substitutions may be made at any time.

Payment Options:

Purchase Orders

    • Make sure all staff have registered online prior to submitting your PO. We are not able to enter registrations from a Purchase Order.

    • Be sure to include the forum name, date, and the names of all registrants on your PO.

    • Submit your PO via email to support@midwestpbis.org.


Credit Card Payments

You may pay your registration fees by credit card when you register using our online registration system. If you would like to pay by credit card after your registration has been completed, you will need to log in to your registration record to make a payment online. See below for instructions on how to access your registration record to make a credit card payment. Credit card information can not be accepted via email, mail, or telephone.

Accessing your registration record to make a credit card payment

NOTE: You will need the confirmation number and email address of the registrant to access the registration system.

1. Click here for the registration record log in page.

2. Enter your confirmation number and email address

3. In the "Please select your method of payment" section, select Credit Card

4. Enter your credit card information in the designated fields

5. Click the "Make a Payment" button at the bottom of your screen

Important note about credit card payments: your payment will appear on your credit card statement as "West40 ISC #2 d/b/a Midwest PBIS Network."