2004 Annual Conflict Management Forum--Registration Form

First Annual Conflict Management Forum
Sponsored in conjunction with ACR, the University of West Florida, and ACR's Community and Crisis Negotiation Sections
June 1-3, 2004
Hilton Homewood Suites of Pensacola
Pensacola, Florida

REGISTRATION

Registration Information:

Sign up for:	Time	Price
Becoming a Mediator	6/2-6/3/04	$40.00
Crisis Negotiation	6/1/04	$35.00
EEOC	6/2-6/3/04	$25.00
Community	6/2-6/3/04	$25.00
Higher Education	6/1/04	$25.00
	Subtotal:
	Total:

Registrant Information:

Name: _______________________________________________________________
Address:______________________________________________________________
Phone: __________________________
Method of Payment:
Credit Card:	Visa	Master Card	American Express
Credit Card Number: ____________________________________________________
Signature:_____________________________________________________________
Check

Questions?
Phone: 850-474-2342
Phone: 850-473-7469
Fax: 850-474-2336

For more information, please contact:

Fernaundra Ferguson J.D.
Asst. Professor, Criminal Justice & Legal Studies
University of West Florida
11000 University Pkwy
Pensacola, FL 32514
Office: 850-474-2342
Fax: 850-474-2334