Registration: Exploring the Power of Listening

November 20, 2008

7:00pm – 9:00pm

Name:________________________________________________

Mailing Address:________________________________________

______________________________________________________

Phone:________________________________________________

Email:_________________________________________________

Please indicate below which fee(s) you are including in your payment.

ﾡ $15 Client of Project CHILLD 

ﾡ $25 Not a client of Project CHILLD

Please make check payable to Project CHILLD, and send it with your completed registration to:

Project CHILLD, 500 Cummings Center, Suite 3850, Beverly, Mass 01915

Or call 978-232-0332 with your Visa or Mastercard

Deadline: November 14, 2008