Register for a Workshop

Class size is limited.  To secure your enrollment immediately, print out and fax this registration form indicating "check (or government purchase) order to follow."  The fax number is (386) 626 3539.  For additional information call (386) 848-3468 or e-mail, legrants@aol.com.  Make checks payable to Richard J. Condon & Associates.  Mail check or money order and copy of registration form to: Richard J. Condon & Associates, 187 Crystal Oak Drive, Deland, Florida 32720.  Your registration will be acknowledged by fax shortly after it is received.  The acknowledgement will include directions to the seminar site and a list of close, moderately  priced, hotels.  Cancellation policy:  To receive a refund, cancellation must be received in writing no later that five (5) work days prior to the seminar date.

REGISTRATION FORM

(   ) Resource Development Workshop - 3 Day Workshop - Registration $450.00.   Send a resource development team and save.  Additional people from the same agency $400.

(   ) Program Development/Grant Writing Workshop - 2 Day Workshop - Registration $375.00.  Send a grant writing team and save.  Additional people from the same agency $350.00.

(   ) Grant Workshop for Law Enforcement, Fire & EMS - 2 Day Workshop - Registration $375.  Send a grant writing team and save.  Additional people from the same agency $350.

(  )  Resource Development Seminar - 1 Day - Registration $275.  Additional people from the same agency $250.   

Workshop Site: ____________________     Workshop Dates: _________________________

Name:______________________________________________    Title:_____________________________

Agency/Organization:_____________________________________________________________________

Street:_________________________________________________________________________________

City:________________________________  State:____________  Zip:_____________________________

Telephone With Area Code:_________________________ Fax with Area Code:________________________

E-Mail Address:_______________________________________________      

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