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TO REGISTER
Please print a separate form for each attendee, fill it out and fax it to (xxx) xxx-xxxx
We accept credit cards, or you may pay by check.
If mailing this form, send it to:
Living Dynamic Initiatives
El Camino Real San Bruno, Ca xxxxx
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Name______________________________________________________________________________
Address____________________________________________________________________________
City__________________________________________State ______ Zip_____________________
Telephone number____________________________ Fax__________________________________
I will attend;
______ Can't do it now , contact me for the next one
Managing with a Difference: Men & Women in the Workplace ____ No ____ Yes ____
______ Can't do it now, contact me for the next one
Women's Leadership Advantage ____ No ____ Yes
Can't do it now, contact me for the next one
Seminar Total: $125 each, the series is $300 ______ Total
ACCOMODATIONS
If you wish to stay at the ?????????????? Hotel, you can make reservations by calling:
(800) xxx-xxxx or (415) xxx-xxxx
Charges for your hotel stay will be billed by the hotel.
Name on credit card___________________________________________________________________
Credit Card ____ Mastercard ____ Visa ____ Discover ____ American Express
Credit Card Number___________________________________________________________________
Expiration Date________________
Signature of card holder_______________________________________________________________
Date___________________
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