REGISTRATION FORM


To register, fill out the form below and click on the SUBMIT button.
For additional information please contact John Jones at the numbers/email listed below:


John Jones
845-615-0559
845-291-2121 (fax)
Email John Jones







Name- Last, First, MI:
Full/Part Time, Rank/Title:
Department:
Address:
City/State/Zip:
Email:
Phone:
Fax:
Course Title:
Dates:
*After submitting please leave page open for at least 60 seconds so the information transmits properly.  You will NOT receive a confirmation on the screen.  Our office will send you a confirmation by email.