The North American ePhilanthropy Training Tour (eTour) Fax Registration

http://acteva.com/go/eTour
Effectively Build Community and Attract Philanthropic Support Using The Internet!  
Fax Registration
 
 




1.                  Which eTour Site are you registering for? __________________________________________ (Details at http://acteva.com/go/eTour )
2.                  Would you like to receive future communication from the sponsors of the eTour? YES    NO
 
 
Individual registration:  of $45 USD + a small processing fee (approx. $72 CAD) includes a copy of the Fundraising on the Internet book (you must attend to receive the book) and a $25 USD certificate good toward future registration in an ePhilanthropy Foundation online education program.
 
Registration fees are quoted in US Dollars (estimated in Canadian Dollars).  
 
Price: $45.00 Processing: $2.85 Total: $47.85 USD
 
Full Name:           _______________________________________________________
Email Address:  ________________________________________
Company:            _________________________________________________
Address:  _____________________________________________________________
         City        ______________State: __ Zip Code: _______
         Phone: _______________________________ Fax: __________________________
 
I/We wish to make payment on my contribution in the following manner:
 
 _____ Charge to my credit card (Circle One):          VISA     MasterCard     American Express         
             Credit Card Number: _____________________          Expiration Date: ___________
             Name on credit card: ________________________________________________
 
______ Please invoice me (invoices are sent via email and payable before the date of your chosen eTour)
 
 
Signature (required):     ______________________________________        Date: ____________________
 

If you have any questions, please contact the ePhilanthropy Foundation at:

Phone: 877-536-1245.
Fax: 202-478-0910
eTour@ephilanthropyfoundation.org