Pre-Registration Form
Professional Development Series
 November 11, 2004
Western Texas College Visitor Center
6200 College Avenue, Snyder, Texas
Registration: 8:30 a.m. - 9:00 a.m.
Program: 9:00 a.m. - 2:30 p.m.
Lunch provided


Thank you for taking the time to complete the pre-registration form. This will help us prepare for the workshop and estimate the number of individuals having lunch with us. Also, if you need a vegetarian meal, please indicate below.
Name
Institution
Position
Campus address
Phone
Email address
 

Present for lunch? (Please check)

Yes
No
I need a vegetarian meal

You may also print this form and fax it to John Gibson,
Western Texas College, (325)573-3936.
Workshop funded through Carl D. Perkins Grant #51102