American Society of Training&Development

Sales Training Forum
Blended Learning That Works For A Sales Audience
September 12, 2006
1:30 – 4:30 pm
Don’t Miss This Exciting Event!

Sales Training Forum Registration

*First / Last Name:

Title:

Company Name:

*Address Line 1:

Address Line 2:

*City, *State, *Zip:

*Phone:

Fax:

*Email:

Registrant Information

CCASTD Member ($69)
CCASTD Student Member ($49)
Non-Member ($89)

Guest Registration Information

Guest:

Name:
Title:
Email:

Guest:

Name:
Title:
Email:

Guest:

Name:
Title:
Email:

Guest:

Name:
Title:
Email:

Guest:

Name:
Title:
Email:

Guest:

Name:
Title:
Email:

*Payment Information:

CheckCredit Card

Make check payable to CCASTD and mail to:
1111 N. Plaza Drive, Suite 550
Schaumburg, IL 60173

*Card Type:
*Name on Card:
*Card Number:
*Expiration Date:	/

Total Amount Due:

Event Hosting

Got space? Become a corporate sponsor! Would your company be willing to donate space for a CCASTD event or be willing to host for the WLP Institute? If so, please contact the CCASTD Office at (847) 517-7225 or via email at admin@ccastd.org.

Chicagoland Chapter, ASTD
1111 N. Plaza Dr., Suite 550
Schaumburg, IL 60173
Phone: (847) 517-7225
Fax: (847) 517-7229
Email: admin@ccastd.org