PLEASE REGISTER ME FOR:
Sexual Harassment in the Workplace: Prevention and Investigation
(two-day program)

Tues/Wed, 8:30 a.m.- 5:30 p.m.
October 16-17, 2001
Loop Campus

PERSONAL DATA:
First name: 
Last name: 
SSN:
Home Address: 
Address 2: 
City: 
State: 
Zip code: 
Phone number: 
Fax number: 
Your email: 

 

ORGANIZATIONAL DATA:
Title:   
Company: 
Address: 
Address 2: 
City: 
State: 
Zip code: 
Phone number: 
Fax number: 
Your email: 
Briefly Describe Job Responsibilities and Expertise: 
Briefly Describe Your Expectations: 
How did you hear about us?
PLEASE SEND ALL CORRESPONDENCE TO:
Home Address
Work Address
METHOD OF PAYMENT:
Credit Card (Please call 312-362-6780)
Bill My Firm - PO# Required
Check - Please print this form & mail to:
DePaul University MDC
1 E. Jackson Blvd. - Suite 7000
Chicago, IL 60604
CREDIT CARD INFORMATION:
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