April 18-22, 2010
Registration Form
113 Business and Community Services Building
University of Northern Iowa
Cedar Falls, IA 50614-0186
FAX:319-273-2787
Registration Fees
Student Plan Registration:
_____ Partner Association Member* $825 ($870 after 3/15/10)
_____
Non-Partner Association Member $925 ($970 after 3/15/10)
*(if member of State Industrial/Economic Development
Association of Missouri,
Name:
____________________________________________________________
Title:
_____________________________________________________________
Organization:
______________________________________________________
Address:
__________________________________________________________
City/State/Zip:
____________________________________________________
Business Phone:
___________________________________________________
Business Fax:
_____________________________________________________
Email Address: ____________________________________________________
I understand the Course begins at 4:00pm on April 18th, ends by 12:00pm on April 22, 2010 and that my presence is required for all Classes.