Recorded Webinar Extension Request Form

Recorded Webinar Extension Request Form Student Information All extension requests must be submitted prior to webinar expiration date Return form by fax to 512.462.1782 or to [email protected] Student Name: District/Company: Contact Telephone: Email Address: Recorded Webinar(s) to be Extended: 7 Day Extension Request Fee: $45.00 TASBO Member

$70.00 Non-Member

Method of Payment: PO #: Billing Address

CC with EXP: Cardholder Signature

Reason for Request:

Student Signature

Date For TASBO Use Only

Approved

Denied

Comments:

TASBO Signature

Date