Common Bond Institute (CBI)
REGISTRATION FORM
Email Version
Instructions:
* Copy & paste text into Email to complete,
* write “ETO REGISTRATION” in subject line,
* and return to: SOlweean@aol.com )
8th Conference on
Engaging The Other:
The Power of Compassion
April 13-15, 2018
Edgewood College ~ Madison, Wisconsin, USA
Conference Details at: www.cbiworld.org/conferences/eto/
* Please Note: There is no program fee for this conference, but registration is required. Space is limited and on an as-available basis. Advanced registration is recommended.
CONTACT INFORMATION: (Include Email and Phone)
NAME: _____________________________________________________
ADDRESS: __________________________________________________
City___________________________ State_________________________
Zip Code__________ Country_____________________
PH __________________ FAX________________ CELL ______________
EMAIL_________________________ WEB ________________________
* [ ] I do NOT wish to be included in conference roster distributed to participants (state, phone, & Email only)
Are you associated with an organization or group that addresses these issues?
[ ] Yes [ ] No
If so, what organization or group: __________________________________
COMMENTS: ___________________________________________
______________________________________________________
Common Bond Institute
Steve Olweean, Conference Coordinator
12170 S. Pine Ayr Drive, Climax, MI 49034 USA
Ph/Fax: 1-269-665-9393
Email: SOlweean@aol.com
Website: www.cbiworld.org