HAYMARKET
CENTER
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Register early!
Spaces limited!
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| Lunch included! Free Parking! |
Please print and mail or fax the following
registration applicationHaymarket Center Workshop Registration Form
Name:___________________________________________________________________________________________
Organization:____________________________________________________________________________________
Home Address:___________________________________________________________________________________
City:_______________________________________ State: _____________ Zip Code:_____________________
Phone: (_____)_____________________ Fax:(_____)_____________________ Total Amount $ ___________
M/C # _________________________________________ Visa # ______________________________________
Expiration Date:
______________Signature ______________________________________________________
Workshop:
(Please indicate
preferred workshops)
____
Tired, Wired, & Mired: A Look At Professional Burnout - (September
16)
____ What You Need To Know About HIV and
Street Drugs - (September 30)
____ The Latin Population and Substance
Abuse In Illinois
- (October 14)
____ DUI Update: 2006 - (October 28)
____ Vouchers And Recovery
- (November 11)
Cost: $95.00 per workshop.
Three (3) workshops or more
$80.00 each.
Student*/
Senior Citizens rate $60.00 per workshop. * (Copy of Student ID MUST accompany
registration)
Group
Discount (3 or more employees from same agency registered for same workshop)
$80.00 each.
Please make checks payable to
HAYMARKET CENTER
and mail with this registration application
to:
Ms.
Carol Blyskal
Haymarket Center
932 W. Washington St.
Chicago, IL 60607
Phone #: 312/226-7984, Ext. 314 Fax #: 312/226-8048
Meeting
room climate varies, so please wear layered clothing to ensure your personal
comfort. Hats are not allowed in the building. Please be considerate of all participants by limiting use of
beepers and cellular phones to
emergencies only. Hats and shorts are not allowed in the building. Thank you.
Disclaimer: The presentations do not necessarily reflect the policies or practices of Haymarker Center.
Back to 2006 Autumn Workshop Page