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X
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First Name, Last Name
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Junior League of
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Title
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Address, City, State, Zip
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Best phone number to reach you
Email Address
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Emergency Contact and Phone Number
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Selection for Breakout Session #1
Facilitating Effective Meetings
Engaging Members and Developing Leaders
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Selection for Breakout Session #2
Public Speaking 101
Finance and Risk Management
Would you like information on hotel accomodations?
Yes
No
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Will you be arriving on Friday?
Yes
No
Payment Information: $75.00 per Attendee. If you prefer to share your credit card information via phone, please call our League Office at (318)221-6144 Monday-Thursday between 8:00 am and 2:00 pm.
Credit Card Type
Visa
Mastercard
Credit Card Number
Expiration Date Month/Year
Name as it appears on card
Billing address
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