REGISTRATION FORM

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

Midwest Facilitation Network
(http://www.midwest-facilitators.net)
7th Midwest Facilitators'
Professional Skills Development Workshop
Monday-Tuesday, May 5-6 2003

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

7th Midwest Facilitators' Skills Development Workshop @ Irons Oaks Adventure and Environmental Learning Center
Olympia Fields, IL






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

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

_____________________________________                    Both Days:                     $399 per registrant  $________________
Address & Mail Code                                                                                                                                                                           (After April 28th - $479)

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