Skills Enrichment Registration form

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Skills Enrichment Registration form Powered By Docstoc
					           INNOVATIONS IN COLLABORATION & CONFLICT RESOLUTION
                      SKILLS ENRICHMENT INSTITUTE
                               July 28-29, 2011


                                                                 The registration fee includes all program
Name: _______________________________________________            materials and meals. The fee does not
       As you would like it to appear on name tag                include hotel room costs. Space is limited and
                                                                 is not guaranteed until payment is received.
Title: ________________________________________________
                                                                 You may register with your credit card
Organization: _________________________________________          online at www.utexas.edu/law/cppdr;

Mailing address: _______________________________________         or by check by mailing this form to:

                                                                 The University of Texas at Austin
City: ___________________ State: ________ Zip: ____________
                                                                 Center for Public Policy Dispute Resolution
                                                                 727 E. Dean Keeton Street
E-mail address: ________________________________________         Austin, Texas 78705
                                                                 Phone: (512) 471-3507
Business phone: (____) ___________ Fax: (____) ____________      Fax: (512) 232-1191

Class sizes are limited and admittance is on a first-come,       Please make check payable to:
first-served basis. Please select 1 two-day track.               The University of Texas at Austin-CPPDR

                                                                 MCLE accreditation through the State Bar
TWO-DAY TRACKS (select one)                                      of Texas has been requested for selected
                                                                 programs. Please see course descriptions
___     Advanced Negotiation Skills:                             on our website for specific course
        A Skills Based Institute of Strategy and Technique       continuing education information.
        Nina Meierding
        (must have completed a basic negotiation course prior)   Cancellation Policy: Written cancellation
                                                                 must be received 30 days prior to the beginning
___     Impasse is a Fallacy:                                    of the program.         There will be a $150
        An Advanced Mediators' Forum                             administrative fee for registrations canceled
        Lee Jay Berman                                           before the cut-off date. Cancellations after the
                                                                 cut-off date will receive no refunds; however,
                                                                 substitutions may be designated with
___     New Roles and New Approaches to Conflict
                                                                 notification to our office. The Center further
        Bernie Mayer                                             reserves the right to cancel a program if
                                                                 sufficient enrollment is not met. In the event
                                                                 of the cancellation of a program, the Center will
                                                                 refund registration fees pertaining to that
                                                                 program.
Please check your registration fee:
                                                                 Federal Tax I.D. 74-6000-203
___     $795 (standard rate: 6/28/11 and after)
                                                                 How did you hear about our trainings?
                                                                  newsletter     training brochure
___     $695 (early-bird rate: through 6/27/11)
                                                                  website        from a friend/colleague
___     $545 (governmental/non-profit/student rate)               email notice  Center Facebook page
                                                                  Facebook ad  Linked In

				
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