NOTE:
THIS FORM IS NO LONGER IN USE.

TO REGISTER FOR THE GRASSROOTS ADVOCACY TRAINING PLEASE VISIT:
www.ifpb.org/education/grassroots/default.html

 

 

 

 

Grassroots Advocacy Training

 

NOTE: THIS FORM IS NO LONGER IN USE.
TO REGISTER FOR THE GRASSROOTS ADVOCACY TRAINING PLEASE VISIT:

www.ifpb.org/education/grassroots/default.html

 

BILLING INFORMATION (if different than registration form):
 
**Name (required):
 
Billing Address :
 
City :
 
State :
 
**Zip (required) :
 
Country :
 
Phone :
 
Email Address :
 

Grassroots Advocacy Training Payment

Registration for the training and lobby day is a sliding scale donation of $25 - $100

LIMITED OFFER: Register by December 1 to receive a $100 credit for any upcoming Interfaith Peace-Builders delegation.

Student and low-income reductions may also be available. Please make a note in "comments" section below if you would like more information.

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  Amount   $

 

PAYMENT INFORMATION:
**Name on Card (required):
 
Type of card :
 
Card Number :
 
Expiration Date :
   
Comments or Special Instructions:

 

NOTE: THIS FORM IS NO LONGER IN USE.
TO REGISTER FOR THE GRASSROOTS ADVOCACY TRAINING PLEASE VISIT:

www.ifpb.org/education/grassroots/default.html

(Click only once)     

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