The Business Center Workshops Registration Form

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Use our automated system to register for our programs, make a contribution and become a member.

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To manually register for our programs and become a member, please complete this form and mail, fax, or hand deliver to:
The Business Center
7500 Germantown Avenue
Elders Hall, Suite 113
Philadelphia, PA 19119
or fax to (215) 247-2477

Date: 06-19-2013

First Name:

Ml:

Last Name:

Address 1:

Address 2:

City:

State:

Zip:

E-mail:

Day Tel. No.:

Evening Tel.:

The maximum upload size is 3 MB. Only files with the following extensions may be uploaded: jpg jpeg txt doc xls pdf ppt pps odt ods odp.

Phone number required. Specific courses offer Continuing Education Units.

Selected Course or Workshop
This form does not calculate. Please fill in fees and total.

1. Title:

Course #:

Fee $:

2. Title:

Course #:

Fee $:

3. Title:

Course #:

Fee $:

Non-refundable registration fee $6 per term $ 6.00

Total $:

I would like to make a contribution to The Business Center. (For more information about making donations to The Business Center, see the contributions page. Enclosed is a check payable to The Business Center for:

Select:

$ 25

$ 75

$ 100

other

Enter Scholarship code:

Call The Business Center at 215-247-2473, ext. 3 to confirm all registrations. Dates, Times and Locations subject to change. Call to confirm!

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