REGISTRATION FORM

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Midwest Facilitation Network
(http://www.midwest-facilitators.net)
5th Midwest Facilitators'
Professional Skills Development Workshop
Sunday-Tuesday, August 13-15, 2000

Send to Registrar:    E-Mail:        pcollins@jordan-webb.net

                               Tel:            (773) 463-2288

                               Fax:           (773) 436-1830

                               Snail Mail:   MFN c/o Jordan-Webb
                                                  2656 West Montrose Ave  - Suite 110
                                                  Chicago, IL 60618
 

5th Midwest Facilitators' Skills Development Workshop @ Hamburger University - Oakbrook, Illinois

                                                                                   I will attend Sunday's Networking Reception: Yes___   No___

_____________________________________                    2-Day Workshop Fee: $275 per registrant  $________________
Company                                                                                                                                                                                           (After August 8th - $300)

_____________________________________                    1-Day Workshop Fee: $150 per registrant  $________________
Name                                                                                                                                                                                                 (After August 8th - $175)

_____________________________________                    1-Day Registrants Specify the Day ==>  Mon 08/14 - Tue 08/15
Address & Mail Code                                                                                                                                                                Circle Which Day You Will Attend

_____________________________________      ___________-___________-___________-___________
City/State/Zip                                                                             VISA / MASTERCARD NUMBER

_____________________________________      __________________________________ _____/_____
Business Phone                                  Home Phone             Signature                                                                 Exp Date

_____________________________________      _____________________________________________
E-Mail Address and Website Address                                       Your Company P O Number for Invoicing

(Workshop Location / Workshop Agenda / Registration Information / Travel Information)
(About the Presenters/Programs / MFN Contacts / Upcoming Events/Notices / Registration Form)
Hamburger University Map / Top Workshop Announcment / Back to MFN Home Page