If the form below has information in it, please, reset the form.Name Organization Telephone E-mail Address Register me for the following Event(s)...Please, select ONLY ONE CHOICE OPTION for each identical class offered.For Example: Residency 2 is offered in both October and December. The October dates may be a first choice leaving December as a second choice. Novermber 4th through 6th - RESIDENCY 1 - FACILITATING TEAMS USING CAPACITYWARE (RGB) ONLY OPTION, FIRST CHOICE, SECOND CHOICE, THIRD CHOICE December 1st through 5th - RESIDENCY 2 - RGB CERTIFICATION ONLY OPTION, FIRST CHOICE, SECOND CHOICE, THIRD CHOICE January 27th through 30th - RESIDENCY 1 - FACILITATING TEAMS USING CAPACITYWARE (RGB) February 23rd through 27th - RESIDENCY 2 - RGB CERTIFICATION March 24th through 27th - RESIDENCY 1 - FACILITATING TEAMS USING CAPACITYWARE (RGB) Other Workshop: Payment: Credit Card Payment, Purchase Order, or Invoice, or Alternative.Other Information:You will be provided with a receipt for this submission. It is recommended that you retain a copy for your files.
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