Nationwide Training in Grant Writing & Resource Development

Group Registration For a 2-Day Workshop

Pricing:

Please provide the following contact information:

Registrants: (at least one participant name and email is required)

*1. Firstname: * Lastname

*Email: Confirm Email:

*2. Firstname: * Lastname

*Email:

*3. Firstname: * Lastname

Email:

4. Firstname: Lastname

Email:

5. Firstname: Lastname

Email:

6. Firstname: Lastname

Email:

7. Firstname: Lastname

Email:

8. Firstname: Lastname

Email:

9. Firstname: Lastname

Email:

10. Firstname: Lastname

Email:

Agency:

*Address:

*City:

*State:

*Zip Code:

*Work Phone: (XXX-XXX-XXXX)

Home Phone: (XXX-XXX-XXXX)

Cell Phone: (XXX-XXX-XXXX)

Fax:

Best way to reach you in case of emergency:*

Work Phone
Home Phone
Cell Phone
Email
Fax

Additional Contact
Please fill in the information below if you are submitting this registration on behalf of the registrants listed above and need to be copied with information about this workshop.

Contact First Name:

Contact Last Name:

Contact Phone: (XXX-XXX-XXXX)

Contact Email:

Confirm Email:

*Denotes required fields.

Workshop Location Selection

Please choose a city locations and workshops dates from the dropdown:

Workshop Pricing

$350/person - TWO DAY WORKSHOP (3-6 PEOPLE)
($324/person - TWO DAY WORKSHOP (If pre-paid 30 days in advance)

$325/person - TWO DAY WORKSHOP (7-10 PEOPLE)
($299/person - TWO DAY WORKSHOP (If pre-paid 30 days in advance)

$300/person - TWO DAY WORKSHOP (11+ PEOPLE)
($274/person - TWO DAY WORKSHOP (If pre-paid 30 days in advance)

A few more questions...

Where Did you first hear about ZockGrant?

Internet

From a Fax

From a Friend or Co-worker

From a Newspaper/Magazine

From a TV Ad

Other (Please specify below)

Any Comments, Questions, or Short Statements?

Note: You may register for a workshop without providing payment initially. Please continue to the next screens to see payment options.

Registration Cancellation, No Show or Transfer - Refund and Penalty Policy.

Cancellations Or Transfers within the 14 Day Period prior to Workshop Start Date or for Workshop "No Shows". No refund! Assessment of Registration Fee and a $50.00 Administrative for Unpaid Cancellations Requested within this same time period and for Individuals who are Workshop "No Shows". Transfers Requested in this time Period will be Assessed a $50.00 Fee.
Cancellations, Transfers & Refunds requested Four weeks prior to the Workshop start Date. A $50.00 Administrative fee will be Deducted from the Refund Amount or billed for Unpaid Cancellations & Transfers during the fourth week prior to workshop start date.

Credit May be Transferred for a future workskhop one time without penalty for those who Pre-Cancel one month or more before the Workshop start Date. The Credit must be used within 12 months.

You will receive a confirmation of your registration via snail mail, at the address you provided above.