empowered through ethics response sheet

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Please fill out the Response Sheet to indicate your preference for the program and whether or not you can attend the training at the Jefferson Hotel.

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4600 Cox Road, Suite 107, Glen Allen, VA 23060 │ Main (804)217-8855 │ Fax (804)217-8850 │ www.jatoday.org

Empowered Through Ethics October 20 & 21, 2010 

 ____  Yes, I am interested in participating in Empowered through Ethics on Wednesday, October 20, 2010 or Thursday, 

October 21, 2010.  Preferred Date:       ____  Wednesday, October, 20, 2010              ____  Thursday, October, 21, 2010  Name: ______________________________________________________________________________  Title: _______________________________________________________________________________  Business: ____________________________________________________________________________   ____  Yes, I can attend the training breakfast at the Jefferson Hotel on October 7, 2010 at 7:30am in  

the Empire Room.      ____  No, I cannot attend the training breakfast at the Jefferson Hotel, please forward the materials.       Preference of location to teach in: (Richmond, Chesterfield, Henrico or Hanover)        _____________________________________________________________________________    Preferred time of day to teach:          ____  Morning          ____  Early Afternoon    ____  No, I do not wish to participate in this program this year.      ____  I am interested in learning about other programs Junior Achievement delivers to area schools.  

For more information, please contact Jess Burgess, Empowered Through Ethics Program Manager. 804.217.8866 or jburgess@jatoday.org  

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