The Midwest Community Development Institute

REGISTRATION

Only CDI participants who have completed Year Three are eligible for attending the CDI Advanced Year.

Name for Badge
Name
Organization/Business
Title
Email
Address
City
State
Zip
Daytime Telephone
Fax
Please specify any dietary or special needs
I will be participating in Year 1
I will be participating in Year 2
I will be participating in Year 3
Tuition: $500
Note: After July 1, 2010, the cost for registration will be $550.
I will be participating in the Advanced year
Tuition: $85
If you are interested in sharing a hotel room or have any special needs, please contact us.
Please send deposit or payment to: Sandy Wittig Illinois Institute for Rural Affairs Western Illinois University 1 University Circle Macomb, IL 61455-1390 309.298.2237 800.526.9943 (Checks need to be made payable to the "Illinois Institute for Rural Affairs." The WIU FEIN number is 37-0910458.)

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