Scholarship Request

Fundraising Training For Innovative Professionals

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Affinity Seminars
PO Box 12129
Denver CO 80212
303-578-9622
619-864-1065 fax
Team@AffinitySeminars.com

M - F, 8 am - 4:30 pm Mountain Time

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To Request A Scholarship You Must Also Pre-Register Scholarships are awarded are seminar-specific and non-transferable. The number available is limited. Scholarships are available only to organizations with an annual budget of less than $500,000 and are not granted more than once to the same organization during a calendar year. Complete the Confidential Information Below. Fields in red are Required. When you have finished your entries, click Complete My Request.
1. Name of Seminar For Which You Would Like a Scholarship:	Check ONLY One:
2. Scholarships are for a 50% discount on the seminar price. Payment of the resulting balance can only be made with credit card (Visa, MC, AmEx). If your scholarship is approved you will receive a discount code that can be used only with the Google Checkout option.	Invoice Me Via Google Checkout
3. Person Completing This Form. First & Last Names:
4. E-mail Address of #3:
5. Title of #3:
6. Person For Whom Scholarship Is Requested (if different). First & Last Names:	(enter "same" or different name)
7. E-mail Address of #6 (if different):	(enter "same" or different email)
8. Job Title of #6:	(enter "same" or different title)
9. Organization Name:
10. Organization Web Site -- http://www.
11. Contact Area Code & Telephone:
12. Address:
13. City:
14. State/Province:
15. Postal Code:
16. Approximately How Many People Do You Expect To Attend This Seminar At Your Location? (The cost is the same no matter how many attend at one location.)	1 2 - 3 4 - 6 7 - 10 11 - 15 16 - 20 More Than 20
17. How did you find us?	Email Phone Contact Link From Other Site Search Engine Post Card Word of Mouth Repeat Customer Other Don't Know
18. Please describe your organization's size and tell us why this scholarship is important:

Click to send:

Upon receipt of this form, we will process your request. If your scholarship is approved you will receive a discount code for use with our Buy Now > Google Checkout option.

Upon receipt of your payment, you will receive an access code (via email) that will enable you to participate in the seminar. Access codes are usually delivered on the Monday prior to the seminar date.

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