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> Prevention Distance Learning Order Form
Organization Name:
Student Name:
(The student name will appear on your certificate as written on this order form. No credentials will appear on certificate.)
Mailing Address:
City:
State:
Zip:
Contact Number:
Fax Number:
Email Address:
xxx-xxx-xxxx
xxx-xxx-xxxx
Payment Type:
Credit Card
Check
(Make checks payable to "Board of Regents")
You will be redirected to Authorize.net to complete your payment
Mail To:
ATTN: Distance Learning Coordinator
University of Nevada, Reno/CASAT
800 Haskell, First Floor
Reno, NV 89509
Fees do not include textbook
Product
Format
Amount
Contact Hours
Quantity
Substance Abuse Prevention*
Hard Copy
$144
18
Environmental Prevention Strategies*
CDRom
$75
8
Cultural Communities
Hard Copy
$48
6
Cultural Communities
Hard Copy
$160
20
Ethical Decision Making in Substance Abuse Prevention (Ethics)
Hard Copy
$64
8
Creative Leadership
Hard Copy
$64
8
Socioeconomics and Prevention*
Hard Copy
$48
6
Socioeconomics and Prevention*
Hard Copy
$80
10
Methamphetamine Prevention: An Inquiry
Hard Copy
and
Resource CDRom
$85
10
Methamphetamine Prevention: An Inquiry
Hard Copy
and
Resource CDRom
$135
16
Additional Materials
Gift Certificate
n/a
$
n/a
Substance Abuse Prevention
Textbook
$60
n/a
Cultural Communities
Textbook
$20
n/a
Creative Leadership
Textbook
$25
n/a
Socioeconomics and Prevention
Textbook
$20
n/a
Order Total:
$0
How did you hear about continuing
education at CASAT?
Internet
Ad (Where?)
Colleague
Addictioned.org
CASAT Website
Other
Notes:
* Visit the CASAT website to enroll in self-paced online distance learning at:
http://selfpaced.casat.org
.
If reporting contact hours to the Board of Examiners for Social Workers in Nevada, homework is to be submitted to CASAT for approval 60 days after delivery. Please contact Julie Tieman for more information about adjustments to products specific to Nevada social workers.
Prevention Distance Learning Guarantee and Refund Policy:
If content or format is other than satisfactory, CASAT will provide a full refund for purchased materials that are returned in unused condition within 30 days of original postmark. CASAT refund policies can be found at www.casat.org.