Registration Form

Case Writing Workshop
Friday, October 13, 2006
Babson College, Wellesley, MA
 

First Attendee
First 
Name:		       Last 
Name:
Title & 
Position:		 Institutional 
Affiliation:
Street 
Address:		 City:
State/ 
Province:		 Zip 
Code:
Country: Home 
Phone:
Office 
Phone:		 Office 
Fax:
E-mail: Secondary 
E-mail:

 

Second Attendee
First 
Name:		       Last 
Name:
Title & 
Position:		 Institutional 
Affiliation:
Street 
Address:		 City:
State/ 
Province:		 Zip 
Code:
Country: Home 
Phone:
Office 
Phone:		 Office 
Fax:
E-mail: Secondary 
E-mail:

 

Third Attendee
First 
Name:		       Last 
Name:
Title & 
Position:		 Institutional 
Affiliation:
Street 
Address:		 City:
State/ 
Province:		 Zip 
Code:
Country: Home 
Phone:
Office 
Phone:		 Office 
Fax:
E-mail: Secondary 
E-mail:

 

Fourth Attendee
First 
Name:		       Last 
Name:
Title & 
Position:		 Institutional 
Affiliation:
Street 
Address:		 City:
State/ 
Province:		 Zip 
Code:
Country: Home 
Phone:
Office 
Phone:		 Office 
Fax:
E-mail: Secondary 
E-mail:

 

How did you hear 
about the workshop? 
Questions?
Comments?

 

Registration
Fee Number of Persons Total
Workshop Registration $295

$

 

Billing

Check drawn on a U.S. bank made payable to WACRA® or VISA/MasterCard only.

By Credit Card
Credit Card
Cardholder Name
Card Number
Expiration Date

 

By Check
Name on Check
Institution

Upon receipt of payment, logistical details will be mailed to you.

Refund policy
Workshop Registration fees: (less $85) will be refunded upon written request received on or prior to 10/03/06 or alternatively, a replacement may be named.

 

This form is not submitted electronically.  You must print a copy first.

Please mail (or fax) this form with your payment to:

WACRA®
23 Mackintosh Avenue
Needham (Boston) MA 02492-1218 U.S.A
Tel. 781.444.8982 Fax: 781.444.1548
e-mail: wacra@rcn.com

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WACRA Conference Office
WACRA®
4340 River Birch Loop - Suite 2A
Greensboro, NC 27409

U.S.A.
Telephone: +336.404.6256
Fax: +336.307.3185
email: smithdmwacra@triad.rr.com

 

Needham, Massachusetts Home Office
WACRA®
23 Mackintosh Avenue
Needham (Boston), MA 02492-1218
U.S.A.

Telephone: +781-444-8982
Fax: +781-444-1548
email: wacra@rcn.com