To print this form on your own printer, be sure the power is turned on to the printer. Then click on the menu selection drop-down menu for "File" near the upper left corner of the browser window. Click on "print."

We recommend that you print 2 copies of this form and retain one of them for your records.

REGISTRATION PROCESS

1. People who preregister will receive a discount.
2. Complete the form at the bottom of this page.
3. Enclose a check, money order, or purchase order payable to APRICOT, Inc.
4. Send form and payment to: APRICOT, Inc., P.O. Box 230138, Tigard, OR, 97281-0138
5. Registration questions? Telephone: 503-670-1740 or e-mail us: apricot@spiritone.com

Please note that this is a new address:  P.O. Box 230138, Tigard, OR, 97281-0138. The e-mail address will remain the same. Our new phone number is 503-670-1740.

**Purchase Orders: When registering less than two weeks before the start of class, please telephone first to find out the best way to reserve your place in the class. Please have your purchase order number ready for the business manager.

**Airline Tickets: Please telephone our office before purchasing airline tickets, since classes are canceled when there is insufficient enrollment.

CLASS INFORMATION

1. Please preregister...
2. Classes are held in the Portland Metropolitin area.
3. Lecture times are individually posted for each course.
4. Registration is 30 minutes prior to the posted lecture time.
5. Certificates of attendance are provided.
6. Optional ASHA Continuing Education Units may be available for an additional fee ($12.50). Register and pay for CEUs on the first day of class.
7. Optional WACECH (Washington Continuing Education Clock Hours) may be available for an additional fee of $2 per clock hour. Register and pay for CEUs on the first day of class.
8. Cancellations received two weeks prior to class will receive a full refund minus a $10 per person processing charge.
9. Enrollment is determined on a first-come, first-serve basis. If minimum enrollment is not met, two weeks prior to class date, class will be cancelled and your fee(s) will be refunded. Preregistration is necessary for classes to make.
10. Your cancelled check is your acknowledgment.
11. Confirmation letters are sent out one week prior to the class start date.

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Name _____________________________________________________ Position _____________________________________________

Please clearly print your e-mail address ____________________________________________________________________________

Home Mailing Address ____________________________________________________________________________________________

City, State, ZIP __________________________________________________________________________________________________

Telephone with Area Code (Home) ___________________________________ (Work) ________________________________________

Send registration forms with payment to:

P.O. Box 230138, Tigard, OR, 97281-0138. The e-mail address will remain the same. Our new phone number is 503-670-1740.

I am registering for the following classes:

(Please fill in Date and Workshop Title):

__________________________________________________________________________________

__________________________________________________________________________________

__

Total Amount Due: $___________________

Please circle the workshop(s) you are registering for and include your check, money order, or purchase order number. Mail this form to APRICOT, Inc. P.O. Box 230138, Tigard, OR, 97281-0138.

____Personal Check	Check #___________	Amount_____________
____District Check	Check #___________	Amount_____________
____ Purchase Order	PO#______________	District______________

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