ORDER FORM:
Customer-Attracting Value Propositions (Workshop)

Name:  __________________________________________________________
Company:  _______________________________________________________
Street Address:  ________________________________________________
Suite/Apt: ________ City: _______________________________________
State: _____ Zip: ______________ Fax #: _________________________
Phone: __________________________________________________________
Email: __________________________________________________________
How did you learn about this workshop?  _________________________
_________________________________________________________________
Payment Methods - Early Bird: $197 (before Sept 12th), Regular: $227
____ Check (enclosed) ____ VISA ____ AMEX  ____ Discover
Card Number: _______________________________________________
Expiration Date: ______/_______
Name on Card: _____________________________________________
Mail completed form to:
Jill Konrath
2227 Foxtail Ct.
White Bear Lake, MN 55110 
-or-
Fax to: 651-426-0983