Thank you for your interest in the upcoming Business Continuity Workshop, to be held at The Philadelphia Bar Association, ARAMark Tower.

Please complete a separate form for each individual that is interested in attending the conference.

Once you complete this form, you will be contacted to confirm if there is space available.

When: Friday, September 6, 2013

Registration: 8:30 a.m.

Time: 9:00 a.m. - 12:00 p.m.

If you have any questions, please contact Elizabeth Lewis at oem@phila.gov with the subject BC Workshop.

Thank you,
Elizabeth Lewis
Ready Coordinator
City of Philadelphia Office of Emergency Management,

* 1. Please complete the following:

* 2. E-mail address

3. Please indicate any accommodations that would allow us to best assist you while attending the course:

4. Please list any suggestions you may have for this or future programs:

5. Agreement to Terms:
I acknowledge it is the policy of the Southeastern Pennsylvania Regional Task Force
to provide availability for attendance in courses based on minimum and maximum
enrollment requirements and that I must attend a course that I have registered, unless
I provide notification 72 hours prior to the start of the course. I understand if I or my
authorizing supervisor does not cancel participation in the course 72 hours prior to
the start of the course then administrative sanctions may be levied up to and including
prohibition from registering from courses for one year.

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