The Writing Exchange, Inc.
466 Southern Boulevard
Chatham, New Jersey 07928
Telephone: 973-822-8400
800-WRITE99 (974-8399)
Fax: 973-822-8411

E-mail: sales@writingexchange.com


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 Available seminar dates: (Please choose one.)*

 

January 8, 2009

 

February 11, 2009

 

March 10, 2009

 

 

 

April 16, 2009

 

May 12, 2009

 

June 9, 2009

 

Please use a separate form for each registration date.

Name:*

Title:

Organization:*

Address 1:*

Address 2:

City:*

Telephone:*

E-mail:*

State:*

Ext.

Zip code:*

Fax:

I wish to register  (number of attendees) for the above date.

Please list names and titles of the attendees: (Separate with a comma.)

Fees and Discounts
The seminar fee is $785 per person, including all materials, breaks and lunch. If you register two or more people, a third person is free. You must register at the same time for the same seminar. If space is available, you can register within one day of the seminar by telephone.

Form of payment:

(If paying by check, click on form, then print selected frame)

Credit card account number:*

(Please do not use any spaces.)

Security Code:*

(3 or 4 digit number from back of card. AMEX cards have this number on fromt.)

Credit card holder:*

Expiration month:*

Expiration year:*

Comments or other information:

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