Infusing Equity into Policy and Practice:
A Course for Equity SpecialistsPAYMENT FORM
Next course to be announced
Date ______________________________
Name _________________________________________________________
Address _______________________________________________________
City/State/Zip ___________________________________________________
Telephone ______________________________________________________
______ **Check / M.O. ______ Purchase Order ______ Mastercard ______ Visa
_____ $80 individual _____ $40 college credit
Credit Card Number _________________________________
Name on Card _____________________________________
Expiration Date ____________________________________
Signature (required for credit card purchase): ________________________________________
**Please make checks payable to Education Development Center/WEEA.Print and send this form by (to be announced), accompanied by check or credit card information to:
Education Development Center
WEEA Equity Resource Center
55 Chapel Street
Newton, MA 02458-1060
Please note:
· credit card information can be sent via
fax to 617-332-4318, before faxing please contact 800-225-3088 and inform our
staff that you will be faxing in your payment form
· do not send credit card information
electronically
· do not send cash
Any questions? Call 800-225-3088