Nonprofit Works Course Registration

Nonprofit Works Course Registration Form

Please print this page and mail or fax it to
Nonprofit Works Inc.
117 Van Dam Street
Saratoga Springs, NY 12866
(518) 581-8841, Fax: (518) 581-8861

Course info

Course Title: _____________________________________________________________

How did you hear about the course? ________________________________________

Contact info

Organization: ____________________________________________________________

Person(s) to attend:

_____________________________________________________

_____________________________________________________

Address: ________________________________________________________________

City: _____________________________ State:_____________ Zip code: __________

Phone Number: ___________________________________________________________

E-mail address for contact person to whom we can send a confirmation of registration:

________________________________________________________________________________

Payment info

Course cost $ _________ X ______ person(s) = total $ _____________

Payment method:

____	Check (make checks payable to Nonprofit Works and mail to 117 Van Dam Street, Saratoga Springs, NY 12866)
____	Purchase order (please list your PO number here ________________ and send your purchase order form with this form)