The Leadership Forum
The Southern Theatre
June 6, 2008, 7:30-12Noon
Dr. Mark Smith
Harvey Hook
John Maxwell
Jim Tressel

Name ___________________________

Company_________________________

Address__________________________

City_____________  State_________  Zip___________

Phone_____________________________
The Leadership Forum

Seats @ $99/person: ________

Total Enclosed $____________

Please make all checks payable to:
Method of Payment: ___Check   ___Visa   ___Mastercard

Name on Card: _______________________________________________________________________

Credit Card #:___________________________________________  Exp. Date:_____________ 3 digit security code:_________

Signature:___________________________________________________________________________
PRINT THIS FORM THEN Mail with check or Fax with credit card info to:
The Gathering  |  3520 Snouffer Rd., Suite 200  |  Columbus, Ohio 43235  |  ph 614.336.3905  |  fax 614.336.3908


Admin@TheGatheringColumbus.net        www.GatheringColumbus.com