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To Register fax this form to 800 852 8610, or call 877 247 0307, or print and mail it to Omni Publishing Co. P.O. Box 640, Wareham, Ma 02571.

www.omni-pub.com

Please register _______person(s) for the "Organizing an In Addition After-School Program" Seminar to be held at: 

Clarion Hotel
42 Century Drive
Bristol, CT 06016

Date:  Oct 7th, 2010

Time:  9am-3pm

(Lunch not included)

Price:  $145 per person - $55 for each addl attendee from same school

 
Name______________________________________________________________
 
School/School District_________________________________________________________
 
Address_____________________________________________________________
 
CITY________________________________STATE________________ZIP______
 
P.O.______________________________________
 
Method of  payment : (  ) Visa/MasterCard (  ) Purchase Order
 
CC# or PO# ___________________________________Expiration Date_________________ 

Omni Publishing Co., PO Box 640 Wareham MA 02571 Phone: 800 387 9441 Fax: 800 852 8610

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