WHYY E-Leadership Satellite Seminars RESERVATION FORM

Please register me for the following presentations at WHYY:

___ Rosabeth Moss Kanter, April 13, 2000     ___ Robert Davis, April 19, 2000

___ Stan Davis, April 25, 2000



___ Please register my workplace for a site license ($2500 per site license per program, up to 45 participants) 
for the program(s) I have checked above.





Reservations for individual programs $95 per person, all three presentations $255 per person. 
Groups of 5 or more from the same organization (please attach separate sheet with names, phone and email) 
$85 per person for individual programs, $225 per person for the series. 
Not-for-Profit organizations $75 per person for individual programs, $195 per person for the series.


Name__________________________________________________________________________

Title_________________________________________________________________________

Organization__________________________________________________________________

Address_______________________________________________________________________

City/State/Zip________________________________________________________________

Phone____________________________   Fax ______________________________________

Email_________________________________________________________________________



Method of Payment: Full payment is due prior to the start of each program.


___ Check enclosed for $_________________ (made payable to WHYY, Inc.)

___ Bill my company: Purchase Order #____________________ Amount $_______________

___ Charge $____________ to my:  ___ Mastercard  ___ Visa  ___ American Express ___ Discover Card 
	
Account number________________________________________   exp. date ________
	
Name on Card___________________________________________________________

Signature______________________________________________________________

Please mail or fax reservation requests to Sally Solis-Cohen, WHYY, 
150 North Sixth Street, 
Philadelphia, PA 19106; fax 215-923-7475.  
Reservations will be filled in the order in which they are received.  
For further information, call (215) 351-1699, or email workforce@whyy.org.