Online Registration for AVCU Events
Small credit unions seeking tuition assistance for any educational event can
download and print an application for the Howe-Bergengren Education Fund here
I am registering those listed below for:
a QuickBite or TeleCourse
a Webinar
an in-person seminar or event
something else (specify title below)
being held on: Month: January February March April May June July August September October November December
Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
for which the total fee is: $
New! Please choose a payment option:
Invoice us as usual Credit card*
Please note ... all items displayed in bold red type are required
Notes (Session choice, VIT Location or other special circumstances):
Name of contact person completing this form: First Last
Credit Union: Select Bennington E/E Federal Border Lodge Bryant Federal Caswell Central VT Med Center, Inc. Champlain Valley Covered Bridge Credit Union of Vermont CVPS Employees' Granite Hills Green Mountain Heritage Family Federal Members 1st Members Advantage Community New England Federal NorthCountry Federal Northeast Schools and Hospital Opportunities Orlex US Government ECU P.M.H. River Valley Rutland Cty Teachers/Mun. ECU St. Patricks Parish United Community VT Federal VT State Employees VT VAF Employees Federal White River Windham County VEA Windsor County South Your Email:
Organization name (if not a VT credit union):
Your Phone: Ext. Fax Number:
CONTACT INFORMATION
I am the contact person Registrant #1 is the contact person
Other contact person - Name/email:
REGISTRANT INFORMATION
# First Name Last Name Email Additional registration information
1.
2.
3.
4.
5.
6.
Credit Cards *
With the new credit card option, the contact person will receive an email with easy-to-follow instructions for submitting secure payment via Pay Pal.
Please ...
Association of Vermont Credit Unions 1000 Shelburne Road, So. Burlington, VT 05403-6960 Tel. 802-863-7848 Fax 802-864-4391