Registration Form

(Please print)

Name:	_________________________________________________________________
Organization:	_________________________________________________________________
Board Title:	_________________________________________________________________
Mailing Address:	_________________________________________________________________
City:	_______________________ State: ________ Zip: ______________
Phone:	(_____)________________________ Fax: (_____)____________________
E-mail:	_________________________________________________________________

Areas of Interest:

"I wish to receive information from the Nonprofit Management Fund for upcoming training opportunities and conferences."