"UNIVERSAL DESIGN/BUILD" COURSE
                                  REGISTRATION FORM
Please complete all information or mark as "NA."





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Name
Cell Phone
City, State, ZIP/Postal Code
Street Address
Email
Office Phone
Date of Class
Applicable Fee ($500 or $550)
Credit Card Number
Security Code
Expiration Date
Occupation
Member of NAHB
If "Yes," NAHB Membership Number
Please register and enroll me in the two-day Universal Design/Build class at $550 for non-NAHB members and $500 for members of NAHB. All funds are USD.

Please call Steve at 561-685-5555 before registering if there is a question.
Attendees may request their registrations to be shifted to future courses without penalty - just indicate your desire to change to another date or location, No requests for a refund will be honored within 2 weeks (14 days) of the scheduled course date.