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Owatonna Grantseeking for Beginners Registration
Form
Please print out and mail or fax (credit card orders
only) this completed form with your credit card information or check.
Payment must accompany registration form.
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REGISTRANT INFORMATION
Please use ONE form per registrant; photocopy form if needed.
Required fields*
MCF does not share or sell
your information. Signing up for this event will not automatically
subscribe you to any of our communications. |
| Name*: |
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Title*: |
E-Mail*:
You will receive confirmation, directions
and parking information by e-mail to the address you provide. |
| Organization*: |
| Address*: |
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| City*: |
| State*: |
Zip*: |
| Phone*: |
Special Needs (vegetarian
meal, interpreter for the hearing impaired, wheelchair access, etc.):
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Seminar Total:
Full Price:
$95 ($125 after registration deadline)
If Eligible for Scholarship:
$45 ($75 after registration deadline) |
$
______________________ |
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| MGO Total: |
$
______________________ |
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GRAND
TOTAL (Seminar + MGO):
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$
______________________ |
Billing Information for Credit Card Orders:
| Name: |
| Credit
Card Number: |
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3-digit security code from back of card: |
Exp. ____ / ____ |
| Signature: |
How did
you learn about this program?*
(Choose all that apply. To select multiple options, hold down
the "Ctrl" button and select your options or, if
you're using a Mac, hold down the "apple" or command key.)
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Scan this completed
registration form with credit card information (payable to Minnesota Council on Foundations) to:
info@mcf.org
OR:
Mail to:
Minnesota Council on Foundations
100 Portland Avenue South, Suite
225
Minneapolis, MN
55401-2575
OR:
Fax this completed registration form
(credit card registrations only) to: 612.337.5089.
Confirmations will be e-mailed
to the address provided.
Receipts given upon request. Confirmations include directions to program
location.
Questions? Contact the Council at
612.338.1989; info@mcf.org.
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