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January 10: Innovation Series

Thursday, January 10, 2013, 7:45 a.m. - 10:25 a.m.

Registration Form
Please complete the following (or print and fax to 612-338-1876)
(Fields named in bold letters are required. Credit Card info only required if used for payment.)
First Name Last Name
Title Company Name
Phone Company Address
E-mail Company City, State, Zip
Other employees from your company included on this registration:
Name E-mail
Name E-mail
Name E-mail
Registration Note
Fees (All fees are per person. Select number of each type registered below.)

Online registration is closed, but walk-ins are welcome. Registration rates are:
for Members.
$105 for non-members.

Refunds given through January 3 (a $10 cancellation fee will be charged) .

Members: $0.00 Non-Members: $0.00
Payment Information
You will receive an e-mail receipt for your credit card payment within 72 hours.
Card Type Visa MC Amex
Card Number
Expiration Date
Billing Address
Billing City Billing State, Zip
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