WISDOM OF THE ELDERS  

Note: please make as many copies of this registration form as needed. 

Make checks payable to:
T.E.A.M.

Mail check to:
T.E.A.M. /Physical Education Complex
Northeastern Illinois University
5500 N. St. Louis Avenue
Chicago , Illinois  60625-4699
 

NAME: ______________________________________________

ADDRESS:___________________________________________

CITY:___________________________  STATE:______________ ZIP:______________

PHONE:_(___)__________________________

E-MAIL:________________________________

SEMINAR TITLE: WISDOM OF THE ELDERS  

FEE:___________________________

There is room for everyone. So come on down. You will be notified when payment is received, or payment will be returned if the conference is canceled.  This brochure is your reference for seminar dates and times.