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GROUP REGISTRATION
Toolz for Tough Conversations 

Featuring guest trainer Mary Dumas 
Thursday, June 21, 2018   |   9:00am-5:00pm
RCC/SOU Higher Education Center 101 S. Bartlett St., Medford

Deadline to Register: Tuesday, June 5, 2018 (limited seating available)

Resolve is pleased to offer a special group rate of $100 per person to encourage teams of four or more people from the same organization while space permits. (If your group is less than four, please go to regular registration: $135 by May 15, 2018, $150 after May 15, 2018.)

Please fill out the registration form below and click on the submit button. After the form is submitted, your payment will be processed securely via PayPal. If registering more than four people, return to this form after completing payment and provide information for your additional people. 

If you have questions or need assistance, please contact Resolve's Training and Outreach Coordinator at 541-770-2438 x302.

Organization Name (Required)
Person completing registration (Required)
Email & phone (Required)
NAME OF PARTICIPANT 1 (Required)
Name as desired on certificate (Required)
Title/Position (Required)
Email (Required)
Phone (Required)
Mailing Address, City, Sate, Zip (Required)
NAME OF PARTICIPANT 2
Name as desired on certificate
Title/Position
Email
Phone
Mailing Address, City, State, Zip (if different)
NAME OF PARTICIPANT 3
Title/Position
Email
Phone
Mailing Address, City, State, Zip (if different)
Name as desired on certificate
NAME OF PARTICIPANT 4
Name as desired on certificate
Title/Position
Email
Phone
Mailing Address, City, State, Zip (if different)
Which tough conversations are you interested in improving, in which settings? (eg: community problems, political controversies, conflict in other settings?) (Required)
NOTES/REQUESTS
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