North Carolina Distance Learning
Productive Relationships with Families Registration Form
Register Below

* All courses are approved by the North Carolina Division
   of Child Development.

1. Select the course that you want to take based on the
     number of Participants.
2. Select the course book that corresponds to the number  
    of Participants.
3. Complete registration / credit card information.
4. If you register for multiple courses using the same
    credit card, we will bill your credit card only once for 
    the total amount. 
5. Click on "Submit" only once.
6. If you have any questions or problems, please call us at
    1-800-729-1949 for assistance. 

    1. Parent Involvement
2. Communicating Effectively wih
     Parents, Co-workers and Children


North Carolina Distance Learning
Productive Relationships with Families
Registration Form

               *Please complete and submit another registration form if you are

                     registering different participants for each workshop.

                   *Your credit card will be billed one time for the total amount.

                        Select Course (Productive Relationships with Families Tuition Chart)

                                                              Names of Participants

                                                              Organization Information

                                                              Billing Information

                    Please Note:

                   Credit Card Number, 3 Digit Card Code, Expiration Date,

                   CardHolder's Address, Card Holder's Zip Code, and Card Holder's

                   Name must be submitted in order to complete registration

                   and receive email confirmation.

                    Please note:

                   1. Review the information you entered on the form before

                       you click the submit button.

                   2. Click the submit button only once.

                   3. After you click the submit button, a "Form Confirmation" page

                       showing the information that you entered will appear.

                       Please review the information and print a copy for your records. This

                       is not an official confirmation.

                   4. After your credit card is processed, an official confirmation

                       along with a copy of your credit card receipt will be sent

                       to the email address entered on your form within 24 hours.

                       Thank you, and we appreciate your business.

                       Service First Online Response Team

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