SFP 10-14 October Facilitator Training in North Carolina

October 20-22, 2009 
KBR Community Room
Family Services, Inc.
1200 S. Broad Street
Winston-Salem, NC 27101

To register, complete the on-line form below. Registration is required to attend this training and is due by Wednesday, October 14, 2009. Registration is limited to the first 20 people.

Training cost is $350 per person. Meals and snacks will be on own and are not included in cost.

Payment is due by Oct 20, 2009. Make checks payable to Iowa State University Extension.
Mail payment to Cathy Hockaday, 1087 LeBaron, ISU, Ames, IA 50011-4380

Times
Tuesday, October 20: 8:30-5:00
Wednesday, October 21: 8:30-5:00
Thursday, October 22: 8:30-5:00

Required Manual 
Participants are required to bring a SFP 10-14 manual dated April 2007 or newer. Manuals are required and may be ordered for $175 from the Extension Online Store. Search for reference number SF 0002.

Questions
Contact Cathy Hockaday, 515-294-7601, hockaday@iastate.edu

Complete this form and click on "Send Registration" Payment Options (checks only, payable to Iowa State University Extension) Training cost is $350 per person. Meals and snacks are not included in cost. I will pay for my own registration and will send to the mailing address below.  An agency or organization is paying my registration fee. Please bill them (complete additional agency section below). Mail checks or purchase order number to: SFP 10-14 Facilitator Training Att: Cathy Hockaday 1087 LeBaron Iowa State University Ames, IA 50011-4380 Questions regarding registration billing or payments, contact: Cathy Hockaday, 515-294-7601, hockaday@iastate.edu Participant Information First Name Last Name Address City State Zip Email Phone   Second Phone (optional)   Agency Information If your registration is being paid by an agency or organization, please complete this section. Agency Name Agency Contact Person for Billing/Payment Purposes Agency Address Agency City Agency State Agency Zip   Agency Phone Number Agency Purchase Order Number (optional) Option Yes, I have special accommodation needs. Please provide details here...

Your online registration is complete when you submit the form. A confirmation email will be sent to you within 48 hours after the registration is received.