The Writing Exchange, Inc.466 Southern BoulevardChatham, New Jersey 07928Telephone: 973-822-8400800-WRITE99 (974-8399)Fax: 973-822-8411E-mail: sales@writingexchange.com
* Required fields
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 DiscountsThe 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:
Website designed by: Gilbern Associates
© 2008, The Writing Exchange, Inc. All rights reserved.