Register for an Introduction to Project Venture
A Facilitator Workshop

To register, please fill out all fields and either submit on-line; print and fax (505-554-2291); or print and mail to: NIYLP, 924 Park Ave. Suite A, Albuquerque NM 87102.

Name and Email







Organization Contact Information








Personal Contact Information








Workshop Location:

Pueblo Cultural Center, Albuquerque NM, Feb. 08, 09 and 10, 2012
     Includes breakfast each morning and lunch on Feb. 8 & 9 .
     Group rates available at the Holiday Inn and Suites, Old Town Albuquerque.

Payment:

I will pay $600 workshop fee by:

On-line Credit Card Payments accepted through PayPal.
    (Go to niylp.org/support.htm after submitting this registration form)
Purchase Order - Enter PO Number: (mail or fax a copy with this form)
Check (mail with a print out of this completed form to: National Indian Youth Leadership Project,      924 Park Ave. Suite A, Albuquerque NM 87102.)

Additional information:

Special dietary restrictions, food allergies, or preferences (e.g. vegetarian). Please explain:
Other Information:

Click here to check input before printing.

 Click here to submit registration via email.

Payment and Cancellation Policy

All workshops require payment in full to reserve a space (unless other arrangements are made in advance).
Payments should be made in US funds and drawn on a US bank.
For public or government agencies, a purchase order will be accepted if a tax-exempt certificate is submitted.
Credit card payments may be made using Visa, MasterCard, American Express by phone or Pay Pal on line.

Cancellations must be in writing at least 2 weeks prior to the first day of workshop in order to receive a refund (less 10% handling fee) or participant may transfer to an alternative workshop date.
For cancellations less than 2 weeks prior to the first day of workshop, 30% of the workshop fee is non-refundable or participant may transfer to an alternative workshop date.
For cancellations less than 1 week prior to the first day of workshop, 50% of the workshop fee is non-refundable.
Cancellations less than 2 days prior to first day of workshop are non-refundable.