TO REGISTER . . . u Call 1-800-825-0060 ext. 120


Between 9:30am – 5:30pm Eastern Time.


u or Fax form to 770-429-0334 u or Go online to www.activeparenting.com/ training and register on our secure server


u or Mail your order to:


Active Parenting Publishers 1220 Kennestone Circle, Suite 130 Marietta, GA 30066-6022


We accept Visa, MasterCard, Discover and American Express.


 Residence  Business Name:


Title:


Organization: Address:


City/State/Zip Day Phone: ( Fax Number: ( E-mail Address:


) )


Order kits or register for any of the LTWs listed on pages 3-13 or for any of the TOTs listed on pages 14-16. If registering, please indicate whether it is a LTW or TOT. **Add 10% shipping and handling for kits only.


Description Quantity Price


**add shipping and sales tax (if applicable - see below) SUBTOTAL v.codei.p. TR15E


provide this code number with your order for a gift!


We guarantee satisfaction! We are convinced you’ll find our live Training workshops an outstanding value. If you are not satisfied for any reason, let us know within the time limit and we’ll refund your registration fee. (See applicable page for specific terms.) The fine print: Active Parenting Publishers reserves the right to cancel a workshop due to unforeseen circumstances. Active Parenting Publishers cannot be responsible for non-refundable travel expenses. LTW and TOT dates and locations are subject to change. Cancellation policies—TOT: If you cancel at least 15 business days prior to the TOT, all but $100 will be refunded. Otherwise, a credit will be issued for future Active Parenting training or materials (less a $100 cancel- lation fee). Dates and locations are subject to change. LTW: If you cancel at least 15 business days prior to the LTW, all but $25 will be refunded. Otherwise, a credit will be issued for future Active Parenting training or materials (less a $25 cancellation fee). Dates and locations are subject to change.


**Shipping/Handling : Add shipping for materials orders only (not for training registrations). 10% of subtotal; minimum charge $6.95. For destinations outside the continental U.S., actual shipping is charged using 2-day air unless specified, plus 5% handling fee.


(GA residents only, add applicable county tax or 7% if unknown) SALES TAX


**(Details below) SHIPPING CHARGES 10% of subtotal; minimum charge of $6.95


Payment or Purchase Order Number Must Accompany Registration Form.


Amount: $ q P.O. Number:


q Check or money order (Make payable to Active Parenting Publishers.) q VISA


q MasterCard Card #: Authorized Signature: 0115


q American Express Exp. date:


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