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2008-2009 Dialogues Program

The cost for this program is $185 per couple which covers speakers' fees and materials.

More info: View the invitation (PDF)
Participant 1:
*First Name:
*Last Name:
*Age:
*Address 1:
Address 2:
*City:
*State:
*Zip:
*Phone:
(123-456-7890)
*E-mail:
Work Address 1:
Work Address 2:
Work Phone:
(123-456-7890)
 
Participant 2:
*First Name:
*Last Name:
*Age:
*Address 1:
Address 2:
*City:
*State:
*Zip:
*Phone:
(123-456-7890)
*E-mail:
Work Address 1:
Work Address 2:
Work Phone:
(123-456-7890)
If you are new to the program, would you be willing to lead your Dialogues group (this will entail serving as a liaison to YLD’s professional staff).
 
*Will you attend the all group Kick-Off dinner on Wednesday, October 29 from 6:00 - 8:00 p.m. at a city location TBA? (We highly recommend attending, as you will be meeting with your group for the first time and choosing your dates and topics for the year. Please remember to bring your calendars for scheduling purposes.)
 
*Do You have Children?
 
 
 

* (indicates required field)