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The Invitational Leadership Roudtable costs $150 per person.

Please print this form out, fill it in, and mail it to:
O’ConnorReport, 2505 Dexter Ave. N., Ste. 8, Seattle, WA 98109

Required fields are in bold

Event_________________________________________________________

Name_________________________________________________________

Title__________________________________________________________

Company______________________________________________________

Address_______________________________________________________

City____________________________________ State_____ ZIP_________

Buinsess phone____________________________

Fax______________________________________

e-mail_________________________________________________________

Check amount ____________________

Mail to: O’ConnorReport, 2505 Dexter Ave. N., Ste. 8, Seattle, WA 98109

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