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<br />REGISTRATION FORM: - HUMAN RIGHTS MEDIATION TRAINING-
<br />NOVEMBEH 16 AND 17; NOVEMBER 23 AND 24, 1996 Attn: STEVE NORTH,
<br />ASST. CITY MANAGER, ROSEVILLE CITY HALL, [LEXINGTON AVENUE AT
<br />COUNTY ROAD C] 2660 CIVIC CENTER DRIVE, ROSEVILLE, MINNESOTA
<br />55113-1899.
<br />
<br />Name:
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<br />Phone:
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<br />Address:
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<br />City/State/Zip
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<br />HR Commission/Firm
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<br />Please Let us know if a Vegetarian Meal is required:
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<br />Do you need disabled or other special services?
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<br />NO _ YES, please describe
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