1) Complete All fields

First Name:

Last Name:

Address 1:

Address 2:

City:

State:

Zip:

Email Address:

Day Phone:

Evening Phone:

2) Select the following Session you wish to attend

Session 11 **** $295 Workshop Fee
May 1,8,15, and 22, 2008 6:00am to 9:00pm - Location: TBA

Session 12 **** $295 Workshop Fee
June 14 and 21, 2008 8:30am to 4:30pm - Location: TBA

3) Two ways to pay
Once payment is received an email confirmation and parking pass will confirm your seat at the workshop) Please type "YES" that you understand this condition                     

A) Credit Card Payment (Complete all fields then Fax registration form to 856.225.6524)

• Print CC Payment Form and FAX

B) By Mail Send check to:

• Office on Special Projects
  Rutgers University at Camden
  319 Cooper Street
  Camden, NJ 08102