Community Action Partnership

Registration Form

Weatherization Training Center 915 Girard ST NE

Washington, DC 20017 www.upo.org

Full Name:

University/Organization: ______________________________________________________________________________

Preferred Mailing Address:_____________________________________________________________________________

City: _____________________________State/Province: ______________________ Zip/Postal Code:

Telephone: (______)__________________ Fax: (______)___________________Email:

WEATHERIZATION FEES

1. Registration Fees (All fees listed in U.S. Funds.) Includes Catalogs, Materials, and Use of Equipment, etc.

PLEASE CHECK APPROPRIATE REGISTRATION FEE:

WEATHERIZATION TACTICS (WX101) Cost $850 AIR SEALING (AS101) Cost $510 Weatherization Diagnostics (WXD202) Cost $850 Envelope Specialist (BPI) Cost $1450 Building Analyst (BPI) Cost $1450 $ Total Amount If you received a scholarship, check Do not pay a registration fee. Still complete this registration form. Cancellations/Changes and Refunds: Fees for missed classes, , late arrivals, and early departures will not be refunded. Fees will be refunded, if cancellation or change resulting in a refund is received in writing no later than the class start date. After that date, fees are non-refundable. All refunds will be processed after the class. Substitutions are allowed at no charge. PAYMENT METHOD: Check or Money Order must be in U.S. funds payable to: United Planning Organization Weatherization Training (UPO-WTC) Green Technology Division- 301 Rhode Island AVE NW., Washington, DC 20001. There will be a $25.00 fee charged on checks returned by the bank due to insufficient funds. Registration confirmation/receipt and further information will be mailed. Please check appropriate box: Check Money Order Purchase Order Date: _____________________PO #: Company /Organization Name:

United Planning Organization Weatherization Training Center (UPO-WTC) Green Technology Division 301 Rhode Island AVE N.W.

Washington, DC 20001 Phone: 202.526.2640 FAX:202.319.3279

Email: [email protected]

Please fax or email registration information.