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
Physical Education Complex
 

NAME: ______________________________________________

ADDRESS:___________________________________________

CITY:___________________________  STATE:______________ ZIP:______________

PHONE:_(___)__________________________

E-MAIL:________________________________

SEMINAR TITLE:___________________________

FEE:___________________________

Payment reserves space on a first-come, first-serve basis. You will only be notified (and payment will be returned) if the workshop is filled to capacity or if it is cancelled. This brochure is your reference for seminar dates and times. There is room for everyone!