ADVANCE RESERVATION FORM 
Midwest Facilitators' Network 
(http://www.midwest-facilitators.net) 

7th Skills Development Workshop 
Irons Oaks Adventure and Environmental Learning Center 
Olympia Fields, Illinois (S Chicago Suburb)
Monday-Tuesday, May 5-6, 2003 

Send to Registrar:    E-Mail:        register@midwest-facilitators.net 
Tel:		(773) 463-2288 
Fax:		(773) 463-1830 
Snail Mail:	MFN c/o Jordan-Webb 
2656 West Montrose Ave  - Suite 110 
Chicago, IL 60618 
Checks Payable to:	MFN or Midwest Facilitators' Network
Visa & MasterCard Accepted 

Midwest Facilitators' Network - 7th Skills Development Workshop - Monday-Tuesday, May 5-6, 2003 

Day 1 (Workshop):	$149 per registrant	  $________________
(After  April 28th - $179)

Day 2 (Certification):	$299 per registrant	$________________
(After April 28th - $349)

Both Days:		$399 per registrant	$________________
(After April 28th - $479)

_____________________________________	_____________________________________ 
Name							Other Participant Names    
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Company							Other Participant Names 
_____________________________________	_____________________________________ 
Address & Mail Code					Other Participant Names
_____________________________________	_________-_________-_________-_________
City/State/Zip						Visa/MasterCard Number
_____________________________________	_____/_____ 
Signature							Card Exp Date 
_____________________________________	_____________________________________ 
Business Phone						Business Fax
_____________________________________	_____________________________________ 
Email Address & Website Address				Company P O Number for Invoicing

Total Amount Enclosed: $ ____________