HERS Payment for Programs or Services Form
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Please complete this form so we may properly apply and record your payment. You will receive a receipt from HERS via email. Please contact HERS at 303-871-3974 or email us HERS[at]hersnetwork.org with any questions.
Name and Contact Information
Street Address 1
Street Address 2
Zip Code/Postal Code
Please select the HERS Program for which you are submitting payment; if the program is not listed here or you are not paying for program related fees, please select "N/A or Other":
January 2023 Next Stages, Next Steps
Spring 2023 Executive Coaching Circles
June 2023 HERS Leadership Institute in Massachusetts
July 2023 HERS Leadership Institute in Colorado
23-24 Weekend HERS Leadership Institute in Washington, D.C. area
N/A or Other
What program, service, or item(s) are you paying for?
Please type the amount of your payment based on the invoice you received from HERS (do not use $ or commas):
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