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Step 1 of 3 - 2010 CMI Registration

PLEASE NOTE: You must complete ALL THREE steps to be registered. Incomplete registrations cannot be processed.

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Your Name:

Your Email Address:

Reenter Your Email Address: (for verification)

Spouse Name:

Mailing Address:

City:

State: Zip:

Phone: (please include area code)

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(Choose One) Yes No Will you attend the Ladies Luncheon?

(Choose One) Yes No Will you attend the Monday evening afterglow? (included in cost)

(Choose One) Yes No Will you attend the Tuesday evening afterglow? (included in cost)

(Choose One) Yes No Will you attend the Wednesday evening afterglow? (included in cost)

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(Choose One) Yes No Will you attend the Tuesday lunch? (included in cost)

(Choose One) Yes No Will you attend the Wednesday lunch? (included in cost)

Workshop Registration

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For each person attending, check one box per person, per workshop.
Workshop I (11:00 a.m.)
Community Recovery
To Be or Not To Be?
Balancing Your Own Life, Home and Church
Touch the Heart with Art
Enhancing the Shine
How To Shine
Working Networking

Workshop II (1:00 p.m.)
NEXUS
To Be or Not To Be?
Balancing Your Own Life, Home and Church
Touch the Heart with Art
Enhancing the Shine
How To Shine
Working Networking