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Sponsored by <br />• <br />Government Training Service <br />CS <br />'w,ILeague of Minnesota Cities <br />TRAINING THE TRAINER <br />WORKSHOPS <br />R E G I S T R A T I 0 ( 1 F O R M <br />EMPLOYEE RIGHT TO KNOW WORKSHOPS <br />Name <br />Title <br />City PH#( ) <br />Address <br />(city) (state) <br />(zip) <br />lease register me for the following: <br />Worksnop Registration Deadline <br />/ July 31, St. Paul <br />/ August 1, St. Paul <br />/ / Auy,,;t 2, Mankato <br />/ August 7, Brainerd <br />' / August 9, Hoyt Lakes <br />/ / August 14, Detroit Lakes <br />/ / August 16, Willmar <br />/ / August 21, St. Paul <br />July 12 <br />July 13 <br />July 17 <br />July 19 <br />July 23 <br />July 27 <br />July 31 <br />August 1 <br />My city is / is not (circle one) <br />a meaner of the LPC Insurance Trust. <br />TOTAL AMOUNT ENCLOSED $ <br />(checks should be made payable to <br />Government Training Service) <br />/ / Please b111 me (must be accompanied by <br />a Purchase Order /Voucher) -- add $2.00 <br />billing charge to registration amount. <br />We would like to receive our audio- visual <br />program in the following format: , <br />/ / Slide /cassette package <br />/ / Video tape (circle one: <br />VHS, BETA, 3/4 ") <br />Peturn this form to GT5, 202 Minnesota Building, <br />16 East 4th Street, St. Paul, Minnesota 55101 <br />(612/222-7409 'or MN tull free 800/652- 9719). <br />/ / I can't attend any of these workshops, but <br />would be interested to participating if <br />one were schuduled to my area. <br />/ / 1 would be Interested in individual <br />Instruction at my city. Please cuntact me. <br />UENLRAL InruR^"14TION <br />Fees <br />$425 for first participant from a city <br />(includes tuition, breaks, $300 worth <br />of materials) <br />$125 for each additional representative <br />from the same city. <br />Special Discount for Members of the League <br />of Minnesota Cities Insurance Trust: <br />x...•5420 for first participant <br />$120 for each additional representative <br />Other Options: <br />* Individual instruction for a single <br />student on -site at your city is also <br />available. Cost would be 5655 (5650 <br />LMCIT Members). Please indicate <br />interest on registration form. <br />" Purchase of additional sets of materials <br />is advised for cities wnose designees <br />will be working in completely separate <br />locations. <br />Fees for course materials are not refund- <br />able. Up to 5100 tuition per person will <br />be refunded for cancelled registrations. <br />Registration <br />Please register by mail using the attached <br />registration form. Multiple registrations <br />should be made by duplicating the form. <br />Enrollment is limited to eleven persons at <br />each location -- so register immediately <br />to ensure your spot! <br />So that materials can be mailed and pre- <br />workshop assignments completed, registrations <br />for all sessions MUST BE RECEIVED 21 WEEKS <br />BEFORE THE SCHEDULED MEETING DATE! <br />Specific information concerning locations <br />will be included with your confirmation <br />packet. Session times are 8:00am - 5:OOpm. <br />For Further Information: <br />Carol Schoeneck <br />Government Training Service <br />202 Minnesota Building <br />46 East Fourth Street <br />St. Paul, Minnesota 55101 <br />(h12) 2 -740 or Minnesota <br />toll free (BOO) b52-9719 <br />