IL NET: Expanding the Power of the IL Movement
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Return to: NCIL / 1710 Rhode Island, Northwest / Fifth Floor / Washington, D.C. 20036.

For further training and registration information, contact Eleanor Canter at NCIL, 202-207-0334 (voice) 202-207-0340 (TTY) 202-207-0341 (fax) or eleanor@ncil.org

Please check, bold, or otherwise indicate one of the following two options:

______Yes!  Please register me for IL NET’s new training on Youth Leadership and Transition, September 11-14, 2007.  Please specify alternative formats.    Cost: $125


___Oh No!  I cannot attend but would like to purchase the Do-It-Yourself Training Kit.  Kit includes live CDs of the seminar and all accompanying materials.  Please specify alternative formats.       Cost: $125

Registrant Information:

Name:									    

Title:    

Organization:

Mailing Address:

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Zip Code:

Phone Number:				            

TTY:						

Fax:

E-mail:

Payment Information:  Please enclose a check, money order, or credit card information (Visa or MasterCard only) and return by fax to (202) 207– 0341 or mail to: NCIL / 1710 Rhode Island, Northwest / Fifth Floor / Washington, D.C. 20036.

Form of Payment (Please Check One):   

__Visa	   __MasterCard		  __Check		  __Money Order   

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Help IL NET Provide the Right Format for You:  				

Training Materials:      

__Large Print                  __Braille              __Audio Tape	           __Diskette

Additional Services*:      

__Assistive Listening Device           __ASL		__Contact Sign	        __Oral          __CART	    __Personal Assistant

*Available during Conference hours only.



Thank you for not wearing any fragrances or scented products and for helping us maintain a smoke-free environment.

It is the responsibility of each participant to arrange transportation and hotel accommodations.  We highly recommend making travel arrangements immediately.