Public Workshop Registration

Workshop^® Registration

DATE	October 22 -23, 2007
LOCATION	San Mateo
TIME	8:30 a.m. - 5:30 p.m. (both days)
COST*	$1,100 per person

For more information, see the workshop flier, call (831) 372-9444 or e-mail advanceinfo@advanceconsulting.com.

Registration Information

*Workshop Date

*Registrant Name

*Registrant Title

*Company

*Address

*City, ST Zip

*Phone Number

*e-mail Address

Number of Seats

(if more than one, please fill in additional names below)

Additional Registrants

Total Cost

Billing Information

Payment Information:

Billing Contact

Title

Company

Address

City, ST Zip

Phone Number

e-mail Address

Credit Card/Purchase Order Number

Credit Card/PO#Expiration Date

Comments or Questions

Please note that due to limited seating at each of our workshops, the session fee is non refundable. Please contact us at advanceinfo@advanceconsulting.com to discuss potential rescheduling options if you are unable to attend during your reserved workshop time.