ORDER FORM - Please Print clearly

Name how you'd like it on your certificate:______________________________________________

List any specific credential or license # that your board may require on the certificate____________

What State board are you trying to get training hours for? (list all)_________________________________

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Name of Company (only if Organizational order)____________________________________________________

Shipping address:_________________________________________________________________________

City/State/Zip:__________________________________________________________________________

Daytime phone ( ______) _______________________

SINGLE PERSON ORDER

Courses Desired: Simply Write the names of each course you wish to order.

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Calculate your total and remember to take a 10% discount off 2 courses, 15% discount off 3 courses and 20% discount off 4 or more courses. These discounts do not apply if you are taking one of the web specials found here

BUDDY or ORGANIZATIONAL ORDERS

If you are taking advantage of our buddy/organizational order, you pay FULL price for the first person, and 1/2 price for each additional person. (See our discounts page for example-there is a link there to return to this page).
Contact Person: (Person to whom we mail trainings)________________________________________________

Please print the full name of each "buddy" as they'd like it on their certificate(s) ONLY if you know who's taking the trainings. If you're not sure who will be taking the training(s), then simply pay full price for each course. Again, details can be found on the link above.

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Mail this page with payment to: Laban's Trainings, PO Box 126307, Harrisburg PA 17112