FASC Senior Center Training Registration Form - Tallahassee Senior Center Foundation

Senior Center Training 2023

"*" indicates required fields

Name*

First Last

Senior Center / Organization*

Agency*

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Purchase FASC Training Ticket

$75 Early Bird rate for FASC-Members

Including Dinner Thursday. (This rate is only valid prior to April 7. Price will increase $10 after April 7.)

Price: $75.00

$85 Early Bird rate for NON-Members

Including Dinner Thursday. (This rate is only valid prior to April 7. Price will increase $10 after April 7.)

Price: $85.00

$60 Early Bird rate for FASC-Members (Excludes Dinner)

(This rate is only valid prior to April 7. Price will increase $10 after April 7.)

Price: $60.00

$70 Early Bird rate for NON-Members (Excludes Dinner)

(This rate is only valid prior to April 7. Price will increase $10 after April 7.)

Price: $70.00

Additional attendee information:

If you purchased more than one ticket, please provide the first name, last name and email address of your additional training attendees.

CANCELLATION + REFUND POLICY

All cancellations must be in writing or e-mail. A 50% refund will be made on cancellations before April 7. No refunds will be made on cancellations after April 7.

Name

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