Facilitator Training Program

Please register me for the Facilitator Training Program on the date checked below.

2012 Course Dates:

March 14-16, 2012
May 16-18, 2012
October 10-12, 2012

Name & Title:
Organization:
Street Address:
City, State & Zip:
Phone: 
Fax: 
Email:

How did you hear about this course?

What is your planned method of payment:

Purchase Order
Check
Credit Card

Payment Information:

Cost: $1,200.00

Full payment or a purchase order/training authorization is required two weeks prior to the start of the course to hold a reservation. Credit card payments are accepted.

We charge a $200.00 fee for all cancellations less than one week prior to the course date. You may send a substitute without penalty.