"Retirement" or WHAT NEXT

Program Registration Form

REGISTRATION INSTRUCTIONS

Step 1 - Fill in this form on your computer screen with your all of the required information.

Step 2 - Read the Refund Policy at the end of this form, then print, sign and date it.

Step 3 - Mail the registration form and check to the applicable address:

DENVER programs and Weekend Workshops

Make out a check payable to Ruth Neubauer for the applicable program fee and mail to:

Ruth Neubauer, MSW
1661 South Fillmore Street
Denver, Colorado 80210

Questions? Call: Ruth - 240-432-4080.

Washington, DC area programs

Make out a check payable to Karen Van Allen for the applicable program fee and mail to:

Karen Van Allen, MSW
9100 Autoville Drive
College Park, MD 20740

Questions? Call: Karen - 240-893-2410

Step 4 -Your registration will be confirmed and more details will be sent to you.

PROGRAM AND PAYMENT SELECTION :

Starting September 13, 2010 - 6-week Evening Support Group in Washington, DC - $240
Starting Sepetmber 22, 2010 - 9-week Daytime Support Group in Denver, CO - $275
May 21/22, 2011 - 3rd Annual Weekend Workshop- Loretto Spirituality Center, Littleton, CO - $400 ($375, if you register before April 5th, 2011)
Individual phone consultation - to be scheduled at a mutually convenient times - $500 for 5 one-hour sessions
Washington, DC Monthly Support Groups - date TBD - please add me to the waiting list for upcoming groups

PARTICIPANT INFORMATION

Fields in bold are required

Name
Title
Organization
Address
City
State
ZIP
Phone
Email address

MAILING LIST

Please add my contact details to the "Retirement" or WHAT NEXT™ mailing list.

Please DO NOT add my contact details to the "Retirement" or WHAT NEXT™ mailing list.

PAYMENT TYPE

Check. Please make checks payable to either Ruth Neubauer or Karen Van Allen per the 'Registration Instructions' above.

HOW DID YOU HEAR ABOUT THIS PROGRAM?

Please check all that apply:

"Retirement" or WHAT NEXT™ website

other website - please specify

search engine - please specify

flyer / card

news article

word of mouth

other - please specify

REFUND POLICY

Refund Policy

If you should need to cancel your registration at any time, the following rules apply:

  • A $50 processing fee is charged for all cancellations.
  • A full refund of the program fee (minus the processing fee) will be made if a cancellation is made prior to 3 weeks before the program begins.
  • A refund of half of the program fee (minus the processing fee) will be made if a cancellation is made within 3 weeks before the program begins.
  • No refund will be given after the program begins.

To inquire about these policies, or to notify us of a reschedule or cancellation, please contact us at 240-432-4080 or retiremtwhatnext@aol.com.

 

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