Name and Organization: ____________________________________________________________
Mailing Address: _______________________________________________________________
(Please include city, state and zip code)
Contact Person: ________________________Phone: _____________E-mail: _______________
Registration Fees:
$250.00 if payment is received NO LATER than Tuesday, April 15th, 2008. Please call to see if there is room before you send checks.
First 10 registration forms with check will be counted, others will have check returned. Limit is only 10.
We accept cash, checks and money orders. Please send in your registration form with your payment. Sometimes we get a check with no registration form & we don’t have any way of tracking who will be attending the workshop.
An agenda will be available upon request. For further information, please call the Swan Circle office at 503-255-3773 or 503-880-1180 (cell - do not leave message on this).
By mail: Swan Circle
Dr. Catherine Swan Reimer
16320 NE Multnomah St.
Portland, Ore. 97230
e-mail:
Cathreimer@aol.com mailto:Cathreimer@aol.com
fax: (503)255-3773
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