REGISTRATION FORM

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Midwest Facilitation Network
(http://www.midwest-facilitators.net)
30th Midwest Facilitation Conference
Monday, October 21, 2002

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
 
 

30th Midwest Facilitation Conference @ Hickory Ridge Marriott Conference Center Hotel
Lisle, Illinois - Monday, October 21, 2002

_____________________________________ Discounted Early Registration Fee: $100/participant: $ ____________
Name                                                                                                                               (if registration received on or before October 14, 2002)

_____________________________________    Conference Registgration Fee: $120/participant: $ ____________
Company                                                                                                                                     (if registration received after October 14, 2002)

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

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

_____________________________________      __________________________________     _____/_____
Business Phone                                         Business Fax         Signature                                                                      Card Exp Date

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

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