The Business Center Workshops Registration Form
Please complete this form and mail, fax, or hand
deliver to:
The Business Center
7500 Germantown Avenue
Elders Hall, Suite 113
Philadelphia, PA 19119
or fax to (215) 247-2477
Date: 9/10/2010
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| First Name: |
MI:
Last name:
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Address1:
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Address 2:
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| City: |
State
Zip
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| E-mail: |
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Day Tel. No.:
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Evening Tel.:
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| Phone number required. Specific
courses offer Continuing Education Units. |
Selected Course
or Workshop
This form does not calculate. Please fill in fees and
total. |
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1. Title:
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Course #:
Fee: $
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| 2. Title: |
Course #:
Fee: $
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| 3. Title: |
Course #:
Fee: $
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| Non-refundable registration
fee $6 per term |
$ 6.00 |
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I would like to make a contribution
to The Business Center. (For more information about making donations
to The Business Center, see the contributions page. Enclosed
is a check payable to The Business Center for:
$ 25
$ 75
$ 100
Other $
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| Call The Business Center at
215-247-2473, ext. 3 to confirm all registrations. Dates, Times
and Locations subject to change. Call to confirm! |
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