One moment please...
Community Development & Empowerment Series 2022-2023 Check/Payment Plan Registration
*
*
Contact Information
*

First Name
Last Name
*

*

*

*

*
*
*
*
Please confirm the number of workshops you will attend.
*
Please confirm the number of workshops you will attend.
I would like to pay for my workshop(s) all at once or monthly

(mm/dd/yyyy)

Please enter your first payment in whole dollars without any decimal points. (Ex. $500.00 should be entered as 500)