The 2011 Minnesota Mentoring Conference registration is now CLOSED.  On-site registration is available payable by check, credit card or exact cash.
Conference Registration Form

Billing Info:

First Name:
 
Last Name:
 
Title:
Organization:
Program Name (If different from Organization):
Phone:
 
Email:
   
Billing Address:  
City:
 
State:
 
Zip:

Which best describes you and/or your organization?:
 

Types of Mentoring Program:
Workshops:    

Type of Registrant :


Morning 2-Hour Session (9:55-11:55am):


Morning 55-Minute Session (9:55-10:50am):


Morning 55-Minute Session (11:00-11:55am):


Afternoon 2-Hour Session (2:30pm-4:30pm):


Afternoon 55-Minute Session (2:30pm-3:25pm):


Afternoon 55-Minute Session (3:35pm-4:30pm):


Please Also Sign Me Up for the MPM E-Newsletter:


Payment:
Payment Directions:

Registration will not be complete until payment is received. MPM does not issue invoices for registration; checks should be payable to "Mentoring Partnership of Minnesota." Credit Card payments are processed online through Vanco Services. A link will be provided after you complete your registration and click "Confirm."

Only MPM-approved Guests, Volunteers and Presenters receive complimentary registration.

Sub-total: $

Payment type:  

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