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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
Date:

8:30 am to 3:00 pm
Cost: $195/person

Wilson Reading SystemŽ Level II Certification (WRS Group Mastery)
Friday, November 7 and Saturday, November 8, 2008

Cost: $325/person $50 price discount if registered by October 17, 2008

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.