HMC Home 2000 HMC Home 98 Speakers Travel Program Information Registration Organizers	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	Home | Speakers | Travel | Program | Registration Information | Organizers