Arkansas People First presents.....

The 7 HABITS OF HIGHLY EFFECTIVE PEOPLE

December 9th and 10th, 2002 at the Arkansas 4-H Center, Little Rock

Print, complete and mail or fax this registration form to (501) 624-6250. Mail your fee (make check payable to University of Arkansas) to:

Joy Parker

University of Arkansas – RCEC

P.O. Box 1358, Building #35

Hot Springs, AR 71902

NAME______________________________________EMAIL_________________________________

DAY PHONE_________________________________EVENING_____________________________

ADDRESS__________________________________________________________________________

CITY________________________________________STATE____________ZIP_________________

(Please select one only – Yes or No)

Everyone pays this fee REGISTRATION ONLY! Limited to 30 participants

___ Register me for The 7 Habits of Highly Effective People ® Training, December 9-10, 2002.
I am enclosing $90.00 for the registration fee (includes $60.00 in training materials, 2 lunches, and 2 breaks for total of $30.00 but no lodging)

$90.00

OR

___Yes – I want to attend and I need lodging for the nights of December 8th and 9th, 2002.
I understand the fee paid will include the $60.00 in training materials and $100.00 for lodging and meals (breakfast, lunch, and dinner on the 9th and breakfast and lunch on the 10th ) I am enclosing $160.00.

Want to share a room or need special accommodations?

___Yes, I would like to share a room with (Please specify a person by name) _________________________________________________________

___ Yes, I need special accommodations, please provide the following:_________________________________________________

$160.00

Amount Enclosed $______________

End of registration form.