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January 31: Mergers & Acquisitions

Thursday, January 31, 2013, 7:15 a.m. - 10:45 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.
Individual Registration (includes attendance, seminar materials and continental breakfast)

$45 for Members of The Collaborative
$145 for non-members.

Refunds given through January 24 (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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10 S. 5th St. Suite 415, Minneapolis, MN 55402 v: 612.338.3828 f: 612.338.1876 e: info [at] collaborative [dot] net