Course Registration Form

Participant Information
Name *
Name
Address *
Address
Phone *
Phone
GSA RATE IS FOR FEDERAL EMPLOYEES. NON-GSA RATE IS FOR NON-FEDERAL EMPLOYEES. WHEN THE SHIPLEY ASSOCIATE CONTACTS YOU FOR PAYMENT INFORMATION, THEY WILL HELP YOU DETERMINE THE RATE YOU WILL PAY.
Billing Information
IF THE BILLING INFORMATION IS THE SAME AS THE PARTICIPANT INFORMATION, PLEASE SELECT THE BOX BELOW. IF YOU SELECT THIS BOX, YOU DO NOT NEED TO FILL OUT THE INFORMATION BELOW.
Name
Name
Address
Address
Phone
Phone
Policies
*
Late Registration Policy: Open Enrollment registration will close 10 business days prior to the scheduled course start date. You may still enroll for a course within the 10 business days prior to the scheduled course start date, but will be charged an additional 5% administration fee for late registration. Your spot will be dropped if payment is not received at least 10 days prior to the workshop. Cancellation Policy: We understand that circumstances arise which may require you to cancel. If written notice is received at least 30 days prior to the course, the tuition fee will be refunded. If notice of cancellation is received less than 30 days prior, the full tuition will be charged and a credit issued (less 10% administration fee) that can be applied to another course for up to one year. If no notice of cancellation is received, the full tuition will be charged and a credit issued (less 50% cancellation fee). That 50% credit can be applied to another course for up to one year. Substitutions can be made at any time. The Shipley Group may cancel a workshop if enrollment is not sufficient. If you plan on purchasing a non-refundable ticket, please call The Shipley Group first to ensure that the workshop has enough participants for the course to be held. If Shipley cancels a workshop, no fee or penalties will be charged and we will assist you in locating another workshop that meets your needs.

Payment Information

Please contact the Shipley Group at 888-270-2157 to make payment.