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Wilson Training Registration Form – Summer/Fall 2008

Yes! I would like to register for the Wilson Training Classes

Name:   First:  Last: required field

Street address:

City: ,  State:   Zip:

Organization:  

Email address: required field

Daytime Phone:

Please register me for (check all that apply):

Fundations Introduction and Various Levels Workshop
Saturday, September 20, 2008
8:30 am to 3:00 pm
Cost: $195/person
Fundations Introduction and Various Levels Workshop
Saturday, October 25, 2008
8:30 am to 3:00 pm
Cost: $195/person

Wilson Three-Day Overview
Wednesday - Friday, July 30 - August 1, 2008

8:30 am to 3:00 pm each day
Cost: $470/person

Wilson Level I Certification Course
Fall 2008 FULL - Waiting list spaces available
Start-up date: Saturday, September 13, 2008
Cost: $1350/person

Payment by*:
school/organization purchase order
School/District/Organization:
PO Number:
credit card (Visa or Mastercard)
Please pay by credit card after submitting this form
*Due to limited space, your place can only be guaranteed once payment or P.O. Number is received.

I   (have)   ( have not)  completed previous Wilson Reading training (please specify below).

How did you hear about the Academy In Manayunk professional education programs?

Please tell us briefly about yourself and your background:

Refund Policy/Cancellation:
Cancel 20 days before training - full refund.
Cancel within 20 days of training - full refund minus $25 service charge.
Cancel after start of training - no refund.