REGISTRATION FORM

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Midwest Facilitation Network
(http://www.midwest-facilitators.net)
26th Midwest Facilitation Conference
Friday, April 27, 2001

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

                               Tel:            (773) 463-2288

                               Fax:           (773) 463-9322

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

26th Midwest Facilitation Conference @ Accenture (Downtown Chicago)
 

_____________________________________   Conference Fee: $150/registrant: $ ____________
Name

_____________________________________    After April 23rd Fee: $175/registrant: $ ____________
Company

_____________________________________
Address & Mail Code

_____________________________________      ___________-___________-___________-___________
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

(Location / Conference Agenda / Conference Information / Travel Suggestions)
(About the Presentations / MFN Contacts / Upcoming Events/Notices / Registration Form)
Top Conference Announcement  /  Back to MFN Home Page