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Tennessee
Entrepreneurship Conference 2006 Registration Form
August 1 –
2, Tennessee Technological University, Cookeville, TN
NOTE: The
deadline to submit your application is July 21.
First Name/Initial:
_____________________________________
Middle Initial/Name:
___________________________________
Last Name:
___________________________________________
Address:
_____________________________________________
City/State/Zip:
________________________________________
Company Name:
______________________________________
Email Address (required to send
confirmation): ______________
Day Phone:
__________________________________________
Evening Phone:
_______________________________________
Please indicate any special
medical/dietary restrictions you may have:
Entrepreneurs:
Please Select 2 Workshops You Wish to
Attend: (Select 2 of the
6):
__ Access Capital for Your Business
__ Business Planning to Increase
Success
__ Bookkeeping and Taxes
__ Marketing Your Business
__ Cash Flow Management
__ Web Based Marketing
Entrepreneurial Support Professionals:
Please Select Workshops:
(Select up to 2):
__ Sustainable
and Local Enterprise: Why and How
__ Removing
Barriers, Creating Opportunities: Next Steps in Policy for
Entrepreneurship in Tennessee
Payment
(Payment must accompany registration except for Scholarship
applicants. Sorry, no refunds.) If
you have questions, please contact the registration staff at
423-733-4195.
__ Regular Registration Fee: $50
__ I am an Entrepreneur applying for
an Entrepreneur Scholarship and request the fee be waived; a
Scholarship Application Form is attached (download separately from
the Conference Website).
Payment Type:
__ Check __ Money Order (Payable
to “Jubilee Project – Entrepreneurship Conference”)
Or
Credit Card: Type: VISA___
MasterCard ___ Credit Card Number ___________________
Credit Card Expiration Date
_________ Name on Card _________________________
You may email your
registration form
to us at
jubilee@overhome.net,
or fax it to
423-382-1211, or mail it to
Entrepreneurship Conference, c/o Jubilee Project, PO Box 657,
Sneedville, TN 37869.
Please check here if you do NOT want
your name and contact information listed in the Tennessee
Entrepreneurship Conference 2006 participant list. ______
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