Inclusive Bathrooms

Inclusive Bathrooms Webinar Registration

REGISTRATION INSTRUCTIONS:

Please complete the Webinar Registration form, below. Once complete, click submit. Confirmations of registration are sent via email within three days of receipt.

Registration is not complete until payment is received. Please use the 'BUY NOW' button provided at the bottom of this page to pay via credit card through PayPal. Checks or money orders are accepted by mail. Send this form of payment to:

EmpowerAbility LLC

107 Syracuse Drive

Newark, Delaware 19713

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Copyright Statement: I will respect the copyright of written materials by EmpowerAbility LLC and Debra Young. I will not copy, forward or transfer the materials provided to me to anyone or onto other document unless written permission is provided directly from Debra Young to me directly for a specific purpose. NOTE: Your electronic (typed) signature on this document constitutes your legal signature in accordance with 21 CFR Part 11: Electronic Records; Electronic Signatures Act. : *