Women Who Step Forward Conference


Women Who Step Forward: Breaking Through Barriers to Women's Leadership

A Personal and Professional Development Conference

Please use this form to register for "Women Who Step Forward: Breaking Through Barriers in Women's Leadership" on Saturday, April 21, 2012 at Saint Mary's University, 2450 Park Ave, Minneapolis, MN 55404.

Cost of conference will include keynote sessions, two breakout sessions, breakfast, lunch, and an afternoon dessert. Questions can be directed to Anna Riechers at 612-238-4550 or ariecher@smumn.edu.

Responses are appreciated by April 10, 2012.



Attendee Information
*First Name
*Last Name
Organization or Business
*Home Address
*City
*State
*Zip Code
*Daytime Phone ### ###-#### ext ###
Cell Phone ### ###-####
*Email Address

Would you like us to include your email address in conference program for networking purposes
amongst attendees? (email will not be used for other purposes)

Include my email address

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Number of Tickets

Student Admission ($45 each)
General Admission ($60 each)



Other Attendees

Full name Email Address Group Name
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2.
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**Total



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