spacer

  Indiana University
spacer Borkenstein Course Home Page Button
Search:
 
spacer spacer spacer
Borkenstein Course
History
Alcohol Course
Alcohol Course Faculty
Drug Course
Drug Course Faculty
Course Registration
Administration
Photo Gallery
Links
Contact Us
Sitemap
spacer
Center for Studies of Law in Action spacer Alcohol Course
spacer   spacer
spacer

COURSE APPLICATION FOR:

ALCOHOL COURSE: December 5th - 10th, 2010

TUITION:  Tuition is $1500.00. PAYMENT FOR TUITION IS DUE PRIOR TO THE COURSE. Click here for payment information.

Please complete the following application form; we will review it for acceptance and then will notify you soon regarding your application status and payment details.

 

  spacer  
spacer
Name  
    (exactly as you want it to appear on your certificate)
 
Organization  
Address of Organization  
City  
State  
Zip  
Phone  
Fax  
Email  
     
   
     
  spacer  

 

 

 

 

HOME  |  HISTORY  |  ALCOHOL COURSE  |  DRUG COURSE  |  ADMINISTRATION  |  PHOTO GALLERY  |  LINKS  |  CONTACT US  |  SITEMAP

site design: high rez designs inc.