Registration Form
Each site is limited to 35 participants, so respond early!
Name          
Department  Organization Title
Address   
Address 2
City          State Zip   
Phone      Fax   e-mail (required)

Please be sure to select a course date and location

Course Date and Location   
Early Registration (Course cost if received 40 days before course date)
$495.00
Registration (Course cost if received after 40 days before course)
$525.00
Refunds or Cancellations must be postmarked 15 days before the course less a $50 processing fee    
Discounts - 10% discount for three or more persons per agency    
As a course participant, I would like to order a discounted copy of  the ABZs of Planning  Management 2nd Edition!  Shipping $13.00 (CA add $3.10 sales tax)
$35.00
I can't attend the course, but please mail me the ABZs of Planning Management 2nd Edition. Shipping $13.00 (CA add $3.10 sales tax)
$39.95
Tax (CA only) $
 
Shipping $
 
Total $
 
If you would like to pay by Credit Card now, please fill in the information below.
Otherwise you will be sent an invoice. If you have any questions please call our office
at 619-260-2680 or 1-800-870-6306.
 

Credit Card Number:

Expiration (MM/YY):

Card Type:

visa mastercard

My billing information is the same as the shipping information above.
I need to enter my billing information.

First Name:

Last Name:

Address:

Address2:

City:

State (US):
OR Province:
Zip/Postal code:
Country:
How did you hear about us?
                                   

 Press 'Submit' to Process Order