Organization Design Forum

Please complete this on-line form to register for the Creating the Designed Organization Workshop to be held in Fremont (Silicon Valley) CA, June 18-20, 2008. Please note that this is not a secure site so please contact Brenda Price, ODF Office Administrator, at 919-662-8548, or email Brenda at b_r_price@bellsouth.net with any credit card information.

For more information you may also send an email to info@organizationdesignforum.org.

	Please register the following person for the workshop
	Please send me a complete brochure
	Please send me membership information

Name:
Title:
Organization:
Address:
Address (cont.):
City:
State:
Zip:
Country:
Phone:	(please include area/country code)
Email Address:
Method of payment:	Check Check Visa/MasterCard: I will phone or fax in my card number Please bill against P.O. Number:

$100 discount for two or more participants from the same organization.
If paying by credit card, please provide the following information by phone or fax:

Specify Visa or Mastercard
Account number
Expiration date
Name on card
Signature

Workshop Admission & Cancellation Policies:

The Organization Design Forum (ODF) seeks to register all interested registrants to its workshop. Nevertheless, ODF reserves the right to deny registration to any individual because of space/capacity considerations or for any other reason.
Cancellations made after June 3, 2008, as well as no-shows are subject to the full registration fee.
Cancellations made after October 23, 2007, as well as no-shows are subject to the full registration fee.
Substitutions can be made at any time at no additional charge.
Cancellations and substitutions will be accepted by phone (919.662.8548), fax (919.662.9751) or e-mail (b_r_price@bellsouth.net).
The Organization Design Forum (ODF) reserves the right to cancel or reschedule this event, in whole or part. Please be advised that ODF is unable to assume responsibility for any airfare penalties, travel or hotel charges that may be incurred due to sold out, canceled or rescheduled events.
Payments must be received by June 3, 2008.

Please make checks payable to Organization Design Forum and mail to:
Organization Design Forum 5713 Carriage House Court Apex, NC 27539