Home Weekends Registration Communities Graduates
 

Value the journey. Otherwise you may reach your destination but miss your life

Lori Giovannoni

Woman to Woman Midwest, Inc.
Woman Within® Training Weekend Registration Form

.

Name
Address
City
State
ZIP+4
Home Phone
Work Phone
Cell Phone
Email
Weekend Date
(select one)		 2008
May 2 - 4, Chicago/Milwaukee (Delavan, WI)


October 3-5, Louisville/Cincinnati (Irvine, KY)

Cost of the Training is $685. This includes lodging, meals, snacks and materials. $100 non-refundable deposit. Pay by VISA, MasterCard or personal check.
MasterCard or VISA # Secure Transaction
Expiration Date
Payment Amount $ ($100 to $685) - credit card charges in excess of $100 are subject to a $25 service charge.
If paying by check, please make it payable to Woman to Woman Midwest, Inc.
Check #

Confirmation of your registration will be sent upon receipt of your registration form and deposit.

Cancellation Policy: If you cancel more than 10 days prior to the weekend, you are entitled to a refund of any money already paid, less the $100 non-refundable deposit. This deposit may be transferred to another Woman Within Training weekend sponsored by Woman to Woman Midwest, Inc. within one year from the date of cancellation. If you cancel fewer than 10 days before the weekend, payments received are non-refundable but may be applied to another Woman Within Training Weekend sponsored by Woman to Woman Midwest, Inc. within one year from the date of cancellation.

If you have any questions, contact the registrar at registrar@midwest.womanwithin.org
Financial Assistance Application

For those in financial need, there is a limited amount of financial assistance available for eachWoman Within Training Weekend sponsored by Woman to Woman Midwest.

In order to be considered for financial assistance you must include (or have previously submitted) the Woman to Woman Midwest registration form, $100 deposit, and the completed financial assis(tance application.

 



1)Please state your reasons for requesting financial assistance.

2)Please describe why you would like to participate in a Woman Within Training Weekend.

 
Submit registration form
or print and send by mail or fax to:
Mary Ann Armour
1010 South Carolina St
Louisiana, MO 63353-2328
Phone: 573-754-3131
Fax: 573-754-3880

© Content copyright 2003-2006 Woman to Woman Midwest, Inc. All rights reserved. — webmaster