Weekend Registration

CONTACT OUR REGISTRAR DIRECTLY:

Mary Ann Armour
Woman to Woman Midwest
1010 South Carolina St
Louisiana, MO 63353
Phone: 573.754.3131
Fax: 573.754.3880

Email: registrar@midwest.womanwithin.org

The online staffing sign-up form has been disabled, please use the printable form for mailing or faxing

Use on-line registration form below for payment by credit card or click here for printable form to use for mailing or faxing.

REGISTER ONLINE HERE:

Name:
Address:
City:
State:
Zip:
Home Telephone:
Work Telephone:
E-mail:
Weekend Date (select one): 2008	May 2 - 4, Chicago/Milwaukee (Delavan, WI June 20 - 22, Columbia,IL Sept 12 - 14, Chicago/Milwaukee (Delavan, WI) Oct 3 - 5, Louisville/Cincinnati (Nazareth, KY) Nov 7 - 9, Chicago/Milwaukee (Delevan, WI)
Mastercard or Visa credit card number:
Credit card expiration date:
Amount:   $100.00 to $650.00	Cost of the weekend is $650.00, which  includes all materials, lodging & meals.

Confirmation of your registration will be sent upon receipt of your registration form and deposit. Cancellation Policy: If you cancel more than 10 days prior to the weekend, you are entitled to a refund of any money already paid, less the $100 non-refundable deposit. This deposit may be transferred to another Woman Within Training weekend sponsored by Woman to Woman Midwest, Inc. within one year from the date of cancellation. If you cancel fewer than 10 days before the weekend, payments received are non-refundable but may be applied to another Woman Within Training Weekend sponsored by Woman to Woman Midwest, Inc. within one year from the date of cancellation. If you have any questions, contact the registrar at registrar@midwest.womanwithin.org

Financial Support Application For those in financial need, there are a limited number of tuition discounts available for each training weekend sponsored by Woman to Woman Midwest. In order to be considered for financial support you must include (or have previously submitted) the Woman to Woman Midwest registration form, $100 deposit, and the completed financial support application. The maximum amount of financial support a woman may receive from Woman to Woman Midwest is $200. Additional support may be available from Women In Circle.

Select One:	Yes, applying for financial support No, not applying for financial assistance
Select One:	This is a new registration form I have previously submitted a registration form
Please state your reason(s) for applying for financial assistance:

© Women In Circle 2005 - 2008
A member of the Woman Within International network and the Women to Women Midwest network