Indiana Coalition Against Domestic Violence and the Resource Center
 

Training Registration Form

There are several ways to register for an ICADV training.

Use one registration form per person. To register large groups, please contact Caryn Burton, Training Director, by phone, (317) 917-3685, or email.




Method One: Register via post, sending in your payment and registration form.

Print out our Training Registration Form, and mail it to us with your payment.

Click here to open an Adobe Acrobat (pdf) file of the Training Registration Form. Simply fill out this form and mail it to us with your check or credit card information. The address is listed on the form.




Method Two: Register via fax, and pay with your credit card.

Print out our Training Registration Form, and fax it to us with the credit card information filled out. Or if you prefer, you may call us during business hours (within 48 hours of faxing the form, please) and provide your credit card information over the phone.

Click here to open an Adobe Acrobat (pdf) file of the Training Registration Form.




Method Three: Register and pay on-line

Fill out our on-line registration form below, and use PayPal to pay for your registration using your credit card.

Fill out the form below completely. All fields except "Agency" are required. When done, click the "Send Information" button. Then click on the PayPal button. This will open a PayPal payment page. Use your credit card to make your payment using PayPal.

Name

Agency

Title/Position

Street

City

State

Zip

Phone

Email

Training Session Title

Training Session Date

    



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Indiana Coalition Against Domestic Violence
1915 W. 18th Street Indianapolis, IN 46202
Phone (317) 917-3685 or (800) 538-3393
Fax (317) 917-3695
Crisis Line 1-800-332-7385