Registration Form

You may register by phone (toll- free 1 -888-326-5488) or FAX (1-812-336-3021) or e-mail (macfarl@indiana.edu). Don't wait and be disappointed that there is no more room in the workshop you want.

Mailing address: Family Learning Workshops              P.O. Box 6344                                    Bloomington, IN 47407-6344

Directions and a map will be FAXed to you along with your registraion confirmation. You may use this registration form, if you wish:

Workshops/Dates  for which you are registering: _________________________ &__________________________

Name

Title

School/Organization

Address

City/State/ZIP

Business Phone

Business FAX

E-mail Address

e-mail us with your registration!!

Check enclosed, payable to Family Learning Workshops

Purchase Order Enclosed (P.O. #__________________)

We now accept credit cards. Please register by telephone - toll - free 1-888-326-5488

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