iRU Registration | inRESONANCE

To reserve your space in an iRU course, please complete the information below. Once you have completed the form press the Submit button at the bottom of the screen. Your registration will be confirmed by email. If you do not hear from us within two (2) business days, please contact us.

You may register with an iRU pass, a purchase order number, or by sending a check along with your registration. Please submit multiple online registrations separately.

Full tuition is due prior to the start of the course or your registration may be canceled.

Contact Information

First Name: *

Nickname:

Last Name: *

Gender:

Title: *

Department: *

Organization: *

Street: *

City: *

State/Country: *

Zip:

Email Address: *

Day Phone #: *

Evening Phone #: *

iRU Alum:

I have attended an iRU before.

I have never attended an iRU before.

Course Registration

April 22–24, 2009 Sessions: *

PORTAL

KEYSTONE

GENERATIONS

CUSTOMIZING YOUR SOLUTION

Payment Options (select one)

Please note: Full payment must be received prior to the commencement of the seminar, or your registration may be canceled. Please select your payment type from the pull-down menu.

If you are submitting a Purchase Order, we will invoice your organization automatically. Please fax or mail a copy of your Purchase Order to the fax number or address below. Fill in the Purchase Order Number below.

If you are paying by check, mail your check to the address below. Please make certain your name and the event you are attending are clearly written on your check.

inRESONANCE
ATTN: iRU
100 Hemlock Road #4-3
Branford, CT 06405
FAX: 413.587.0238

Payment Method: *

Purchase Order Number:

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