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Step 1 - Registration

For additional information, please see instructions

All information will be treated as confidential. It will be used only for internal MIT Sloan purposes and will not be provided to a third party without your permission.

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Negotiating Labor Agreements Seminar, $1950 (excl. accommodation)
 December 2 - 3, 2010

Professional Information

Prefix
First (or Given) Name
Middle Name or Initial
Last (or Family) Name
Nickname/Familiar Name (for Name Tag)
Name as it should appear on certificate (name only; no titles/prefixes, please)
Company/Organization
Job Title
Preferred Address Business  Home
Address Line 1
Address Line 2
Address Line 3
City
State/Province   Zip/Postal Code
State (International)
Country
Direct Work Telephone Country Code, Area or City Code, Telephone Number, Extension:
   
Direct FAX Country Code, Area or City Code, Telephone Number, Extension:
   
Mobile Phone Country Code, Area or City Code, Telephone Number:
  
E-mail (The email address submitted should be the participant’s own email address as it will become the participant’s username in our system.)
 
When you attend an MIT Sloan program, you are joining a learning community. To foster learning and business networking, we share basic contact information with other participants during the program(s). Please select the level of information you wish to share:

Share only name, title, organization, country, and email
Share full address and contact details (note: we will share only business address)
Share no information

Company/Organization Web site
Applying as a: Team
Individual
If you have a Customer ID number, enter it here:
If you have a Referral Code, enter it here:
Industry Other:
Your Company/Organization:
Name of Parent Organization (if applicable)
Name of Division (if applicable)

How did you hear about this program?
Please specify name of source or person who referred you

What factor had the most influence on your decision to attend the program?
Other

Emergency Contact Info
Name
Relationship
Primary Phone Country Code, Area or City Code, Telephone Number, Extension:
     
Secondary Phone Country Code, Area or City Code, Telephone Number, Extension:
     


Team discounts for additional participants from the same organization or union management partners:
2nd participant: $1550
3rd+ participant(s): $1250


  

 
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