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The Matrix Registration Form

SPACE IS LIMITED… MAKE YOUR MATRIX RESERVATION EARLY!

To reserve your spot, please print and send this reservation form to NWIN, 441 Round Lake Park Road, Monroe, NY  10950.  Please make checks payable to NWIN.

Name: _____________________________________________
Company Name: _____________________________________
Address: ___________________________________________
Phone: ____________________________________________
Email: _____________________________________________
 
 
PAYMENT ENCLOSED:
 
 
_____ I am currently an NWIN member of the _____________ Chapter.     Enclosed is my half price Matrix registration check in the amount of $74.50.
   
_____ I am not an NWIN member but I’d like to take this opportunity to join while the half price special is running.  Enclosed is my check for half price membership ($112.50) along with my half price Matrix registration ($74.50) in the total amount of $187.00.  (New members are invited to attend any and all NWIN events and chapter meetings.  For a list of events and chapter meetings, visit www.nationalwomensinnetwork.com.)
   
_____ I am not an NWIN member.  Enclosed is my Matrix registration in the amount of $149.00.
   
   
   

 

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