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US Federation of Worker Cooperatives
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Madison, WI 2009 Membership Meeting Registration Form
Personal Information
First Name:
*
Last Name:
*
USFWC Member Workplace:
*
Email address (meeting information will sent to this address):
*
Phone:
*
Mailing address:
*
City:
*
State:
*
Zip:
*
Needs or Requirements
Will attend:
*
Friday coop tours and Gomeroke
Saturday Member Meeting
Sunday MAWC meeting and/or Peer TA Network meeting (by invitation)
Any dietary requirements or restrictions:
Type of lodging requested:
*
Local host
Madison housing cooperatives
Will arrange own lodging (see hotel list)
Lodging needed:
Thursday night
Friday night
Saturday night
Sunday night
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