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     VCS Community Change Project presents 
     NY Model for Batterer Programs: Changing Focus - Shifting Expectations
     This page is for One-Day Registration ONLY
     VCS Inc., 77 South Main Street, New City, NY 10956

     For ONLINE REGISTRATION, we accept the following forms of payment: Visa,
     MasterCard, American Express, Discover, eCheck and PayPal payments.

     Please note: In order to qualify for the discounted registration fee, please enter the
     name of the domestic violence victim assistance organization/agency you work for
     (MUST be non-profit and non-governmental), as well as the name of the exec director.
     * Required; We cannot process the registration without this information.

Organization/Agency*:
Executive Director's Name*:
                              
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