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Heartland Men's Conference | Men and mission for the millennium | What's a man to do?

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First Annual Heartland Men's Conference
Registration Form

Men & Mission for the Millennium:
What's a Man to Do?

November 14, 15, 1998
Pre-Conference Event: November 13

Days Inn Conference Center
I-70 and Stadium Blvd
Columbia, MO


Fees
(check those that apply)

Conference Fee (Nov. 14-15)

$180.00

Pre-Conference Fee (Nov. 13)

$30.00

Early Conference Fee (postmarked by Oct. 16)

$155.00

Early Conference Fee for 2 (postmarked by Oct. 16)

$300.00

Group Rate (6 or more registrants) (per person fee)
.....Must be sent together and postmarked by Oct. 16, 1998

$145.00

Senior Rate (60 and over) ........Age: ______

$145.00

Full-time Student
.....School: _____________________________

$145.00

Saturday Only

$100.00

Sunday Only

$90.00

Certificate of Attendance

$2.00

Total Enclosed

$ ________

Payment method: Check or Money Order payable to:

The Group Works - Patrick Kane, DCSW


To register, please return this form with proper fees to:

Heartland Men's Conference
c/o Patrick Kane
2100 E. Broadway, Suite 213
Columbia, MO 65201


Name: __________________________________________

Address: ________________________________________

Address: ________________________________________

City: _____________________ State: ___ Zip: __________

Phone: (______)________-_________________



Everyone who registers a week or more before the conference will receive a confirmation by mail. Attendance will be limited to 250 men and women.

For more information about this and other details, call Patrick Kane at The Group Works 573/449-0120 or e-mail: hrtlndmens@aol.com

Jeff Belden, webmaster
jbelden@trib.net
Date Last Modified: 2/20/2000

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