2007 Calumet Heritage Partnership Conference Registration Form

Name ________________________________

Organization _________________________

Address ______________________________

City/State____________ Zip Code ________

Phone _______________________________

E mail _______________________________

Registration...................................................$15.00
CHP Member DISCOUNT............................( 5.00)

Join the Calumet Heritage Partnership!

(see conference brochure for dues).. .....................$________
TOTAL AMOUNT ENCLOSED.. .........$________

Make Check / Money Order Payable to the:
CALUMET HERITAGE PARTNERSHIP

Pre Registration Deadline: October 5, 2007
Pre register to assure lunch.

Please send registration form and payment to the:
Calumet Heritage Partnership
13300 S. Baltimore Avenue
Chicago, Illinois 60633