Webinars Registration

January 7, 2009
February 4, 2009
March 4, 2009
April 1, 2009		 May 6, 2009
June 3, 2009
July 1, 2009
August 5, 2009		 September 2, 2009
October 7, 2009
November 4, 2009
December 2, 2009

Fill out and then print out this form, or print out and handwrite in the blanks. Then just fax or mail.

Name
Title
Organization
Street Address
City
State Zip 
Telephone Fax 
E-mail

Pricing

__ $59.00 each

Billing

__ Check (made payable to Nonprofit Risk Management Center)   __ Credit card

Name on card
Organization
Street Address
City
State Zip 
Telephone
Type __ Visa  __ MasterCard  __ American Express
Number   Expiration