Please fill in the information below to register to attend the Free Community Workshop with Dr. Kate Spilde, Helen Bader Leadership Speaker Series June 25, 2013. The workshop will be held from 1:15 to 3:00 pm at the University Club of Milwaukee, 924 E. Wells St. on the second floor.

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. What organization do you represent?

Question Title

* 4. What is your email address?

Question Title

* 5. What is your telephone number?

Question Title

* 6. How many people will attend the workshop on June 25, 2013?

Question Title

* 7. Please enter the first name, last name, and email address of any guests that will be attending:

Thanks for your registration. If you have any questions, please contact Margaret Arney at mmarney@stritch.edu, 414-410-4553.

T