Registration Form

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First Name:

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Company:

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Networking Lunch

• I will be attending the networking lunch.
• I prefer vegetarian meals.

Optional Information

Accommodation needs, if any:

Check if needed:

• ASL Interpreter
• CART Provider
• Deaf Blind Tactile - Braille materials
• Deaf Blind Low Vision - Large Print materials
• Check if you do not want your name on the participant list.

Note: This event will be recorded. By registering or attending, you agree that your likeness may be used or reproduced in video or audio recordings, or as photographs, in connection with the event.

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• Directions
• Summit Agenda
• Summit Speakers
• About WorkWithoutLimits

Who

• Employers
• People with disabilities and their families
• Employment service providers
• State employment agencies

What

Putting Our Abilities to Work: A Disability Employment Summit

When

Wednesday, October 28, 2008
9:30 a.m. - 1:00 p.m.
Registration begins at 8:30 a.m.
Complimentary Breakfast and Lunch

Where

The Westin Copley Place, 10 Huntington Avenue, Boston, MA 02116

Cost

• The Summit is free.
• Invitation intended for recipient or designee only.

Registration

Pre-registration is required. Register by October 21, 2009