Leadership York
Executive Series Application
March 18, April 1, 15 & 29, May 15, 2002 5:30 - 7:30 PM
Registration fee is $450 for the executive, $125 for his/her spouse. Nonprofit rate is $350 for the nonprofit executive and $100 for his/her spouse.
| Name | |
| Spouse's Name |
My spouse will attend. |
| Title or Responsibility | |
| Organization | |
| Business Address | |
| Address (cont.) | |
| City | |
| State | |
| Zip Code | |
| Work Phone | |
| FAX | |
| Home Address | |
| Address (cont.) | |
| City | |
| State | |
| Zip Code | |
| Home Phone | |
| Additional info we should know? |
Questions? E-mail Carolyn Warman at Leadership York.