Mail Application

Select a training from the Training Schedule page, which includes the fee.                

Training Selection: __________________________________________________________________

Name: _______________________________________ Email: _________________________________

Name: _______________________________________ Email: _________________________________

Name: ________________________________________ Email: ________________________________

Name: ________________________________________ Email: ________________________________

AGENCY: ___________________________________________________________________________

ADDRESS: __________________________________________________________________________

CITY: ____________________________________________ STATE: ________  ZIP: _____________

PHONE: (_____) __________________            EMAIL: ______________________________________

Total Fee____________________                                                 For CEUs check here___________

Download this application and mail with check (RICORP):    

     RICORP

             42 Jillson St.

                                 Providence, RI 02905

REFUNDS: 2 weeks before training minus 10% process fee 

SUBSTITUTES ARE WELCOME

Questions: Contact genec@ricorp.org  401-568-6412

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