First Name:
Last Name:
Organization:
Address:
Apt or Unit:
City:
State: Select AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip:
Phone:
Email:
Payment Method: Credit Card (Online)Check
2 Day Facilitator Training Reservations ($100.00 ea.): 0 1 2 3 4 5
1 Day Economic Advocacy Training Reservations ($300.00 ea.): 0 1 2 3 4 5
How many copies of the Curriculum? ($150.00 ea.): 0 1 2 3 4 5 If your organization does not already own the REAP curriculum, it is recommended that you purchase it prior to attending the training.
How many copies of the Supplimental CD? ($25.00 ea.): 0 1 2 3 4 5 The Supplimental CD includes pre/post quizzes for each group, the Economic Action Plan, a sample REAP certificate and the pre/post feelings and values about money evaluation tool.
Have you ever attended a REAP Institute? YesNo
How did you hear about this training? Select ROW's Website State Coalition REAP Institute Mailing On another website Through a co-worker, or someone in the field Other:
Special Instructions:
Our next scheduled National Training will take place in the fall of 2011.
Thank you to everyone who made this years benefit concert a success!