REGISTRATION FORM

You may fax or mail the registration form and payment to NDC, 4000 Southpark, Tyler, TX 75703

or, Fax 903-534-5964

 Make Checks Payable to Nonprofit Development Center

You can also Register and Pay online at http://www.unitedwaytyler.org/store/index.php

If faxing or mailing in your registration, send the entire form to the address above.

Registration Deadline is July 6

Organization____________________________________________Phone_____________________________

Your  name __________________________________E-Mail ________________________________________

Address _____________________________________ City _______________________ Zip___________

Big Marketing, Small Budget "Lunch & Laptop" Workshops

_____ x $75 each = ____________ Total

Credit Card Information        ___  MC    ___ VISA    ___ DISC    ___ AMEX

Card #_______________________________________  Expiration Date______________________________

Cardholder Name____________________________  Signature ____________________________________

(For more information, please call Dorothy Franks at 903-581-6376, X 201, or email [email protected]