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Jurisdiction/Agency <br />Street Address <br />City <br />State Zip <br />Daytime Phone Fax Number E-mail <br />Note: Please provide your e-mail address so we may confirm your registration. Confirmations will be sent one week before the workshop. <br />Workshop Options: (Check all that apply I <br />The Basics ($99) <br />April 16 - St. Cloud <br />May 3 - St. Paul <br />0 June4-St.Paul <br />Beyond the Basics ($125) <br />May 14 - St. Paul <br />0 May 29 - St. Cloud <br />Advanced Zoning Applications ($1251 <br />. ~ May 29 - St. Paul <br />June 18 - St. Cloud <br />Site Planning Basics ($125) <br />0 April 16 - St. Paul <br />Environmental Planning ($125) <br />April 10 - St. Paul <br />Using the AUAR 1$125) <br />0 July 10 - St. Paul <br />Your Role As Planning Commission Chair 1$50) <br />(~ May 17 - St. Paul <br />Boundary Adjustments for Cities & Townships 1$50) <br />May 21-Mankato <br />Technology Tools for Local Planning ($50) <br />April 16 -New Ulm <br />May 7 -Bemidji <br />Return-this for.rrrat!leastseven:c~ays priorto the date of ~ .'~ <br />~~ttre first ~rior4~shota yo~t Qre~atte~ding to ~m x ~, <br />. : ~1 r ~:~~a~ ~,uy ..~ ~<~ <br />Government*'1"rarning~ Service <br />0 Cedar Street; Suite~4'OT; <br />Paul; Minnesota 5510T 2240 <br />11f you have selected-the "bill me" or cr_edircard; pay- <br />rnent options, you can fax your-registrutiorrto °^° <br />b5~1-223`-5307.) <br />roan musr oe aupncatea when registering more than one person!1 <br />Registration Options: <br />Regular <br />[]Student at <br />(name of institution) <br />Payment Options: <br />0 Enclosed is check # in the amount of <br />$ (payable to Government Training Service). <br />~ Please bill me at above address. <br />P.O.# (if applicable). <br />(VOTE' AN $S/AGENCY BILLING fEE WILL Bf ADDED TO THE AMOUNT OWED. BlI lna <br />option not available to students. <br />0 I would like to pay with the following credit card: <br />VISA Card# Exp. Date: <br />Master Card: Card# Exp. Date:. <br />~ Check here ifthis is a duplicate copy of your registration form and <br />you have already registered by fax. <br />Special Needs: (Must be received at least two weeks before the <br />workshop for which you are registering.) <br />~ I have a dietary restriction (e.g., vegetarian- as follows: <br />a <br />0 <br />I require ancillary aids (i.e. sign language interpreter, large print, <br />Braille materials, etc.). Please contact me at: <br />(Circle one: VOICE or TTY) <br />I require other accommodations. Please contact me at: <br />FOR FURTHER INFORMATION <br />go to www.mngts.org <br />• For registration assistance: Brian Smith (ext. 207) or <br />brismith®mngts.orq <br />•3 With program questions: Carol Schoeneck (ext. 205) <br />or cschoeneckQmngts orq <br />GOVERNMENT TRAINING SERVICE <br />480 Cedar Street, Suite 401 <br />St. Paul, Minnesota 55101-2240 <br />Voice:651-222-7409 Fax:651-223-5307 <br />MN Toll Free: 800-569-6880 TTY: 651-221-9817 <br />Last Name <br />Title How long in this position? <br />