Advanced Dialogue Facilitation Program

First Session April 28 - May 2, 2008

 

Registration Form

(Questions? Contact Elizabeth Fadell 608.288.1050 or eliz_fadell@earthlink.net or glenna49@earthlink.net)

Name (First & Last)_______________________________________________________________________

Title ___________________________________________________________________________________

Organization ____________________________________________________________________________

Address ________________________________________________________________________________

_______________________________________________________________________________________

City ___________________________________________________________________________________

State/Province ___________________________________________________________________________

Zip/Postal Code __________________________________________________________________________

Country ________________________________________________________________________________

Phone __________________________________________________________________________________

Fax ____________________________________________________________________________________

E-mail _________________________________________________________________________________

Website ________________________________________________________________________________

Diet (please circle one)                            Meat eater                        Vegetarian                       Vegan                 

Please list any food allergies ________________________________________________________________

Tuition and Discounts – Tuition is $5,500 (non-profits, government organizations, individual consultants - $4,100) . 

Please check any of the following that apply:

__ I am registering by February 15, 2008 and eligible for the Early Registration tuition of $4,950 (non-profits, government organizations, individual consultants, $3,690).  (Tuition and registration form must be received by February 15, 2008 to qualify.  Responses to Questions for Reflection can be sent by March 28, 2008)

__ I am a NCDD (National Coalition of Dialogue and Deliberation) fully-paid member and eligible to receive a 15% discount off the full tuition amount anytime – $4,675 per participant (non-profits, government organizations, individual consultants $3,485).

 

For Cancellation and Substitution Policies click here.

Method of Payment

___Check - Make tuition check payable to The Enterprise Group, and mail with this form and your answers to the                    Questions for Reflection to:      

The Enterprise Group

Atttn: Advanced Dialogue Facilitation

4812 Hillview Terrace

Madison, WI  53711

__50/50 Tuition Option – Pay 50% of tuition upon registration.  Balance due March 28, 2087.      

__ Invoice – Name and address to whom invoice should be sent (if different from registrant):

              ______________________________________________________________________________

              ______________________________________________________________________________

 

For more information return to Advanced Dialogue Facilitation Program