HMC Home Speakers Location Travel Program Information Registration Organizers Men's Links	Second Heartland Men's Conference Registration Form November 11, 12, 2000 Pre-Conference Event with John Lee: November 10 Robert Bly Poetry Reading at MU November 11 Ramada Inn Conference Center Columbia, MO Fees (check those that apply) Conference Fee (Nov. 11-12) $199.00 Pre-Conference Fee with John Lee (Nov. 10) $30.00 Robert Bly Poetry Reading @ MU $15.00 Robert Bly Poetry Reading with Conference Registration $10.00 Early Conference Fee postmark by Nov. 1 $175.00 Early Conference Fee for 2-postmark Nov. 1 $340.00 Group Rate (6 or more registrants)-per person fee)-Must be sent together and postmarked by Nov. 1, 2000 $165.00 Senior Rate (60 and over) ........Age: ______ $165.00 Full-time Student School: _______________________ $165.00 Saturday Only $120.00 Sunday Only $110.00 Certificate of Attendance $2.00 Total Enclosed $ ________   Payment method: Check or Money Order payable to: Patrick Kane - The Heartland Men's Conference 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: ________________________________________ City: _____________________ State: ___ Zip: __________ Phone: (______)________-_________________ Register Early: Attendance limited to 350 men/women.
Jeff Belden, webmaster JeffBelden@home.com Date Last Modified: 11/5/2000	Home | Speakers | Location | Travel | Program | Registration Information | Organizers | Men's Links