Conference
Registration Form
| Agency: |
| Name: |
| Title: |
| Address: |
| City, State , Zip: |
| Daytime Telephone: |
| Fax: |
| E-Mail Address: |
| PNN Affiliate # |
| Member Affiliate #
(Must Have Number To Qualify For Discount - see mailing label) |
| Registration After: | TBA | TBA | TBA |
|---|---|---|---|
| Directors' Day | TBA | TBA | TBA |
| Education Conference Registration (Individual) |
TBA | TBA | TBA |
| Agency Group Registration (3-10 from same organization) |
TBA | TBA | TBA |
| Next Steps of Your Community Building Project (Follow-up customized workshop) |
TO REGISTER PLEASE PRINT THIS PAGE FROM YOUR COMPUTER AND MAIL WITH A CHECK, MONEY ORDER, OR PURCHASE ORDER TO:
Pacific Non-Profit Network
33 N. Central Ave., Ste. 211
Medford, OR 97501
Phone: (541) 779-6044
Refund Policy: All cancellations are subject to a $50 handling fee. Sorry, no refunds after September 15, 1997. All refunds requests must be in writing.