RegistrationForm

MIDWEST CENTER FOR NONPROFIT LEADERSHIP
REGISTRATION FORM

Steps to Register:

Step 1: Fill out this registration form.

Step 2: Print the registration form.

Step 3: Mail, fax or email this registration form along with your registration fee to:

University of Missouri-Kansas City
Midwest Center for Nonprofit Leadership
4747 Troost Avenue, Suite 207
Kansas City, MO 64110-2499

(816) 235-5727 (fax)

Step 4: If you have any questions please contact us. Phone: (816) 235-2305 Email: mcnl@umkc.edu

Participant(s) Information:

Name:

Title:

Organization:

Address:

City: State: Zip Code:

Phone: Fax:

Email:

Additional Name(s):

Current course(s) for which you are registering:
*GENERAL programming*
	Transforming Your Organization's Future: Designing and Leading Transformational Change (June 6-7, 2012) - $195 for one, and $175 for each additional agency rep
	Strategic Boards with Impact: New Work and Challenges (Sept. 13, Oct. 11, and Nov. 8, 2012) - $275 for one, and $250 for each additional agency rep
*FUNDRAISING certificate program*
Fall 2012
	Organizing for Successful Fundraising (August 17-18 & September 7-8, 2012) - $510 per participant
	Creating and Implementing the Annual Development Plan (September 28-29 & October 26-27, 2012) - $510 per participant
	Contemporary Trends in the Nonprofit Sector: The Impact on Fundraising (August 24 & September 15, 2012) - $275 per participant
	Direct Marketing and Direct Mail in Fundraising (October 12 & November 3, 2012) - $275 per participant
	Prospect Research and Proposal Writing (September 21 & October 20, 2012) - $275 per participant
Winter/Spring 2013
	Organizing for Successful Fundraising (January 25-26 & February 22-23, 2013) - $510 per participant
	Creating and Implementing the Annual Development Plan (March 8-9 & April 12-13, 2013) - $510 per participant
	Planned Giving and Major Gift Solicitation (February 1 & March 2, 2013) - $275 per participant
	Prospect Research and Proposal Writing (March 15 & April 20, 2013) - $275 per participant

Payment Information (check payment method):

Check enclosed, payable to UMKC

Credit Card Charge (Visa, MasterCard, Discover)

(These are the only credit cards we accept)

Payment Amount:

Credit Card Information:

Cardholder Name:

Card Number:

Expiration Date:

Cardholder Signature: _____________________________

The Midwest Center for Nonprofit Leadership reserves the right to cancel a program when circumstances require.

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