Please complete the appropriate information fields:
* Name of Person Attending Workshop:
* Name of Person Completing Online Payment:
Title:
Agency:
* Address:
* City:
* State:
* Country:
* Zip/Postal Code:
Phone:
-
Fax:
-
* E-Mail:
* Affiliation (select one):
Local Adult Corrections
State Adult Corrections
Training Commissions/Academies
Community Based Programs
Military Correction
Juvenile Corrections
Federal Corrections
Higher Education
Health Care Delivery Trainers
Private Sector Training
International Community
Method of Payment:
Workshop Registration Fee - $595.00 - Note: Meals and lodging at the West Virginia Corrections Academy are included in the registration fee.
Click "Pay Online" to purchase Online
To pay by check/money order/purchase order print this form and mail to the below address:
IACTP
PO Box 473254
Aurora, CO 80047
Phone/Fax: 877-884-2287 or (719) 738-9969
Email: iactp@correctionsmail.com
Confirmation: Your registration will be confirmed by e-mail or you may contact IACTP at (877- 884-2287)
Cancellation: Cancellations less than 30 days prior to workshop dates will result in forfeiture of registration fee. IACTP reserves the right to cancel workshop should the minimum number of participants not be achieved. Registration fee will be refunded should IACTP cancel this workshop.
