Training Registration Form 2001
 

Print this form and fax to: 904.346.4438 Attention: Beverly Hamilton
List the session(s) you will be attending.

Name:____________________________________________________________________
Organization:_______________________________________________________________
Address:__________________________________________________________________
State & Zip:________________________________________________________________
Work Phone:______________________ Fax Number:______________________________
Email Address:_____________________________________________________________
Volunteer Jacksonville Member? Yes____________ No_____________________________
Work Shop Fees - Per participant per session:
Members
Non-members
Group Dynamics (CEU)
$140
$140
Grant Proposal Writing (GPW)
$90
$180
Volunteer Management (EVM) per person/module
$45
$90
Course Description(s): Course Date(s):
   
   
   
Enclosed is my payment of $___________ Check: Visa: MC:
Account Number: _____________________________________
_____________________________________
_____________________________________

_____________________________________
Name on Card:
Exp Date:
Signature:

Questions? Call Beverly Hamilton, Volunteer Jacksonville, 904.398.7777

  

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