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The Rassias Center
Dartmouth College
6071 Blunt Suite 315
Hanover, NH 03755-3526 USA

Phone: (603) 646-2922
Fax: (603) 646-2240
Email: rassias.center@dartmouth.edu



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Workshop Enrollment Form

Enrollment fee payment by credit card required when using this online form.  If you prefer to submit enrollment fee by check, please contact us for a paper enrollment form.  Enrollments submitted without credit card payment will not be processed.

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Payment 1

$200 non-refundable registration fee due at time of registration.

  • American Express
  • Diners Club International
  • Discover
  • MasterCard
  • Visa

Payment 2

Balance due by June 1, 2017

Cancellation policy

Requests for cancellation must be submitted in writing by June 1, 2017. Submissions after this date run the risk of incurring program fee penalties.  This program is based on a minimum enrollment; we reserve the right to withdraw any program offering in which this requirement is not met.  We will confirm the status of this program by June 5, 2017; if it is cancelled at that time all fees will be refunded.  We recommend that you do not make non-refundable travel plans until we have confirmed this program.

Photo Release:  By submitting this on-line form and the corresponding "Submit Form" button, which constitutes my electronic signature, I hereby give permission for any images captured by photo or video during all activities to be used in editorial or promotional publications for the Rassias Center of Dartmouth College and waive any rights of compensation or ownership thereto.

* indicates required information

Contact Information




Gender:*












Preferred method of contact:*




Do you have any physical restrictions (i.e. stairs, distances):*



You and Rassias
Have you attended a previous Rassias program?*





Program Options



Payment

Payment is required before you submit this form. Click here to open a new window where you will enter your payment information. Once payment is confirmed you must return here, check the box confirming you have paid, and click the “submit form” button.



 

Please contact us if you have any questions about the registration process.


Last Updated: 11/30/16