Navigating Difference Community Building, Cultural Fluency, and Social Justice
Date: April 30th, May 21st, and June 18th Time: 8:30 a.m. - 4:30 p.m. (A light breakfast will be served at 8am) Location: Vineyard Mtn Room CC213
Example: 6500 Pacific Blv. SW.
Example: OR; Oregon
Example: email@example.com * Type "NONE" if you do not have an email
REGISTRATION COST: $150.00 per person for all three days, $80.00 for Part One, $70.00 for Part Two (Prerequisite Part One). Part Three is free with the purchase of One & Two. Checks and major credit cards are accepted as payment for the event. Make checks payable to LBCC and mail to Linn-Benton Community College, Staff Development, 6500 Pacific Blvd SW, Albany, OR 97321. Be sure to print out completed form and attach check before mailing to address above. Print directions at end of form. Cancellation Policy: Preregistration is required. Registrants who cancel up to 10 days prior to the start of the event will receive a full refund. No refund will be given after that time, although substitutions of individuals may be made prior to the start of the event. Cancellations must be made by calling 541-917-4968 or Email: firstname.lastname@example.org
Select the workshop you would like to attend cost coincides with workshop selection. *Note: Part One is a prerequisite for Part Two
$150.00 All Three Days
$80.00 Part One
$70.00 Part Two
If paying by check, select "Check", print out completed form, then select submit button to register for event.
Credit Card Number
Numbers ONLY no spaces or dashes. Example: 0123456789789456
MM / YYYY (Example: 09 / 2013 )
Last 3 digits on back of card
Full Name (as it apprears on credit card)
Example: Jane Doe
Billing address of credit card
Typed response accepted as signature
Printing Registration Form
If mailing your registration, print the form using the following directions. It is recommended to print this form for your records before submitting. From the browser menu 1. Select File 2. Select Print 3. Then click on the "Print" button After printing the registration form, select the submit button below.
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