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   Publicity Club of Chicago

 

Program Registration

CAREER DEVELOPMENT - BREAKFAST SEMINAR
Wednesday, Jan. 21, 2004

To register, use this form, or contact our office directly. (Note: Registration via fax is no longer available for this event.)

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
FAX
E-mail

PCC membership status:

By submitting this form, you are officially registered for the session.

You may phone our office with your credit card information, or provide it at the time of the program.

  Register by
Jan. 16		 Late Registration
Member $15 $30
Non-Member $20 $30
Student $10 $30

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