The 2003
Project 2019 Annual Conference
REGISTRATION


(Please Type or Print the Information Requested Below)


--------------------------------------------------------------------------------------------
(First Name / Middle Init. / Last Name)

--------------------------------------------------------------------------------------------
(Mailing Address)

--------------------------------------------------------------------------------------------
(City / State / Zip Code)

--------------------------------------------------------------------------------------------
(E-Mail Address)


Are You Staying At The Marriott? (Yes / No): Friday Night? ______ Saturday Night? ______


Do You Plan To Attend The Following Saturday Afternoon Workshop and Forum?

(Yes / No) ________ (12:00 - 1:00pm) ----- ("Lunch & Learn") -- "The Problems and Pitfalls Of The Project 2019 Movement"

(Yes / No) ________ ( 1:00 -- 3:00pm) ----- (Open Forum) -- "Forming A Strategic Plan For Project 2019"

--------------------------------------------------------------------------------------------------------
Mail Completed Form with Check or Money Order Payable to:

Project 2019
P. O. Box 1096
Chicago, IL 60690

(Also, Please Send E-Mail Stating That You Are Mailing Registration Form)
--------------------------------------------------------------------------------------------------------

The Cost of the 2003 "Project 2019 Annual Conference" is $45.00 ($80.00 / Couple). This Price Includes:
--- Access to the Project 2019 Hospitality Suite Activities during the weekend Conference
--- Admission to the Saturday afternoon Workshop and Forum
--- Admission to the Saturday evening Annual Banquet


Return To: ANNUAL CONFERENCE Information

PROJECT 2019 MENU