*required fields

Please choose the workshop(s) for which you are registering:

(If you are registering for more than one, hold the Ctrl key while you select each workshop)

  November Workshop December Workshop Jan 28: Inputs and Outcomes *

If the workshop you want is not listed, contact the Program Coordinator at 928-527-7926 or programs@nonprofitnaz.org.

 

 I will be attending the workshop in this city:

Number of participants:

 *

 

First Participant:
Name:	*
E-mail:	*
Second Participant:
Name:
E-mail:
Third Participant:
Name:
E-mail:
Fourth Participant:
Name:
E-mail:

Please list names and e-mail addresses of any additional participants:

Would you like us to make sure that all the above emails are on our NPRC Listserv?*

Yes  No

 

 

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Contact information:

Name	*
Title
Organization	*
Street Address	*
Address (cont.)
City	*
State/Province	*
Zip/Postal Code	*
Phone	*
Email	*
Website

Please tell us how you heard about this event:

          --Select-- Email Word of Mouth Newspaper Radio Regular Mail Other  *  Other: 

Please tell us how many NPRC workshops/brown bag seminars your organization has attended, counting this one:

          --Select-- 1 2 3 4 5 6 More than 6 Don't Know  *

Payment Information:

Workshop fee:
Click HERE if you need to confirm your fee. Then close that window to complete this form.

*

Total amount of payment:
(Number of participants x fee)

*

Note: If you are registering for the Jan. 28 "Inputs and Outcomes" Workshop, please reflect the amount of people you will be PAYING for in the box above (Number of participants x fee).  For example, if you are registering FOUR people, you would pay full price for the first person, apply the two-for-one discount for the next two participants, and full price for the fourth person.  Thus, you would actually be paying for THREE people.

HOW TO MAKE YOUR PAYMENT:

Click HERE to see if your organization is a member.

If so, you qualify for the discounted fee.

Nonmembers pay the full fee.

Not a member? Click HERE to see member benefits and to join.
 

Please select your method of payment: --Select-- Check Credit Card *

In the field below, enter the name that appears on the check or credit card you are using. This helps us match the payment with your registration:

*

Your registration payment is nonrefundable.

However, it is transferable to another person if you are unable to attend.

To complete your registration and for payment instructions,

click the submit button below.

Please submit form only once.  It may take a few seconds to process.