AACCWR - Huson Valley PREP

African American Chamber of Commerce of Westchester and Rockland Counties, AACCWR

African American Chamber of Commerce, AACCWR - 10th Anniversary, 1996-2006

"The right combination of savvy and support."

Hudson Valley PREP Registration
with the MTA

Please complete the form below to register for the Hudson Valley PREP Fall 2008 Workshop. You may fill out the application online or print out the application [.pdf file] and fax or mail it to the Chamber.

Prefix (Mr., Mrs., Dr., Ms., Other):

First Name:

Last Name:

Title:

Company Name:

Street Address:

Address (cont.):

City:

State:

Zip Code:

Work Phone (ex: 1234567890):

Cell Phone (ex: 1234567890):

Fax (ex: 1234567890):

E-mail Address:

Web Address:

Owner's Name:

What goods/services do you provide?

Are you currently certified?
Yes No

If yes, which agency?

Do you own a computer?
Yes No

How did you learn about PREP:

If Other, explain:

Method of Payment: FREE

Workshop Fee: FREE - First Come First Serve!!!

All PREP participants must sign a Release Form

For more information call:
914-699-4749

PREP Registration/Brochure for Fall 2008 Seminar Courses

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