Registration Form - April 27, 2001 Facilitators Conference

REGISTRATION FORM

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

Midwest Facilitation Network
(http://www.midwest-facilitators.net)
27^th Midwest Facilitation Conference
Monday, October 15, 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

27^th Midwest Facilitation Conference @ Sears Roebuck & Company, Hoffman Estates, IL (NW Suburb)

_____________________________________ Conference Fee: $100/registrant: $ ____________
^{Name

(on or before October 9th)}

_____________________________________ Late Registration Fee: $120/registrant: $ ____________
^{Company

(after October 9th)}

_____________________________________ Walk-In Registration Fee: $120/registrant: $ ____________
Address & Mail Code (payment at the door)

_____________________________________ ___________-___________-___________-___________
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