Second Nature Consultant Workshop Registration

Northeastern Region—New York City

Thursday, March 29 and Friday, March 30, 2012

Welcome Reception and Dinner, Thursday evening, 7:00 p.m.

Consultant Workshop, Friday, 9:00 a.m. to 4:00 p.m.

ink48 (a Kimpton Hotel)

653 11th Avenue
New York, NY 10036

Name

Telephone

Will you require hotel accommodations for THURSDAY night?

Will you require hotel accommodations for FRIDAY night?

Will your travel require a flight?

We are happy to make all arrangements for you to attend the workshop (including lodging and travel). We’ll arrange flights to arrive in time for you attend the Welcome Dinner, Thursday evening, March 29. Return flight options include departure Friday evening (March 30) after the workshop or Saturday morning (March 31) if this is more convenient for you. We will contact you with flight options prior to booking to ensure flights work for your schedule.

Departure Airport (Airport Name or Airport Code)

Your Name EXACTLY as it appears on your I.D.

Your birth date (required to make flight reservations)

Preferred Airline (We will opt for least expensive option, but will try to accommodate your preferred airline whenever possible.)

Frequent Flyer Account Number

Please be sure to specify a day for the RETURN flight.

Friday evening after the workshop
Saturday morning

Please let us know if you have any special dietary requests or needs or additional questions. Thank you!

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