QBCS registration form

Registration Form

Engaging a skilled consulting service is an investment in your business or
organization's future.

One Day Grant Writing Workshop
Registration

Class is from 8:00 am to 5:00 pm - bring your lunch - 30 minute
question and answer session during lunch break. Cost is
$189.00 per person.

Class seating is limited - make your reservation today.

Comprehensive workbook and other training material along with
a certificate of completion provided for attendees.

To Register:

1. Print the REGISTRATION FORM below
2. Mail completed form and payment to:

QBCS
PO Box 1086
Truth or Consequences, New Mexico 87901

Scheduled One Day Grant Writing Workshops

If you are interest in having one scheduled in your
area, please contact us and we will be happy to
see if we can work with you or your organization.

Attendee Name:________________________________________________________

Company: ____________________________________________________________

Address: _____________________________________________________________

City / State / Zip: ________________________________________________________

Work Phone: _________________________ Fax #: ____________________________

Email: _________________________________________________________________

Fee for workshop is $189.00 per person.

Date and location of workshop you are registering for:_______________________

Method of Payment:

Check / Money Order __________________ Master Card ________ Visa Card _________

Credit Card # ____________________________ Security Code (3#'s) _________

Expiration date: ________

Name on Card : _____________________________________________________

Signature:__________________________________________________________

Registration and payment deadline: One week prior to workshop. No refunds after start date of workshop. $50.00
non refundable fee for cancellation after payment deadline date. Confirmation Receipt will be faxed, email or mailed
to the address provided on this registration form.

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