Registration form for The National Conference & Workshop
September 30 & October 1, 2010
  Your Name
  Your Title
  Company
  Your Email Address
Your Direct Phone Number
 How many of your staff will be attending?
  What are the names of those who will be attending?
  When will you arrive in the Twin Cities? - Date & Time
 The Early Bird Registration Fee is $160.00 and must be paid in full by June 25th, 2010 - after June 25th, 2010 the registration fee per person will be $200.00.
Please acknowledge that you understand the above Yes, I understand
  If you would like your spouse or significant other to attend the Thursday evening events and Friday morning's breakfast, that cost would be $50.00
Please provide the name of the additional person
Please provide the name of the additional person who will be attending