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Midwest Facilitation Network
(http://www.midwest-facilitators.net)
38th Midwest Facilitation Conference
Monday, October 31, 2005

38th Midwest Facilitation Conference @ Hamburger University
Oak Brook, Illinois - Monday, October 31, 2005

________________________________________ Name	Early Registration Discount (by 10/24) Full Conference: $110 - Half Day $75	$______
________________________________________ Company	Late Conference Registration (after 10/24) Full Conference: $125 - Half Day $80	$______
________________________________________ Address & Mail Code	On-Site Conference Registration (10/31) Full Conference: $135 - Half Day $85	$______
________________________________________ City/State/Zip	_________-_________-_________-_________ Visa-MasterCard-American Express-Discover-Diner's Club
________________________________________ Business Telephone                              Business Fax	_______________________    _________   _______ Signature                                 Exp Date         VCODE
____________________________________ E-Mail Address                                      Website	___________________________________ Your Company Purchase Order # for Billing
	Half-day (lunch included) indicate sessions: 1-2 / 3-4 / 2-3