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Course:
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Increasing Social
Competence of Head Start Children |
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Course Date::
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Cost of Class:
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$199
per Student |
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Number of Students Required:
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Discounts: |
When
registering online, Take
3 discount is for 3 or more student
registering for the same workshop. |
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Total Cost:
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Student Information
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*
Name:
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*
Job Title:
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*
Company:
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*
Email:
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*
Phone:
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Fax:
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Address:
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Additional
Students
Fill in the
following fields depending on how many seats
you require.
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Classes
are occasionally cancelled. Please
indicate if there is a second date in
our schedule which may be acceptable
to you. You will not be enrolled in
this class without a confirmation by
phone and/or email or fax. Please read
the
cancellation
policies.
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Course
Date::
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Billing Information
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*
Method of Payment:
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PO# |
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Please bill the company: letter of authorization or
purchase order will be faxed to (901) 758-4036. I have
read and understand the registration
and refund procedures for HSU courses. |
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Card
No.
Expiration
Date |
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Authorizing Manager:
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Check
this box if your billing address is the same as
your personal information. |
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Additional Comments
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