The Rensselaerville Institute

Corporate Philanthropy Workshop
September 25-26, 2008
Registration Form:

	All fields marked with an * are required
Workshop Dates:	Sept: 25 [Check-in: 11:00am – 12:noon, Lunch: 12noon, Workshop begins at 1:00 pm] Sept: 26 [Program ends: 12noon, Depart after lunch by 1pm]
Location:	The Rensselaerville Institute Meeting Center, 63 Huyck Road, Rensselaerville, NY 12147
Workshop Fee:	$490.00 per person/per workshop (includes training, materials, one night’s lodging, 4 meals)
Transportation:	How are you arriving?* Albany International Airport Albany/Rensselaer Train Station Albany Bus Terminal Driving to Rensselaerville
Limo Service:	We can arrange Limo Service from any of the 3 public transport stations above at a discounted rate of $120 Roundtrip per person with advance notice. Do you need this service?* Yes No
Early Arrival:	Advance reservation required for Wednesday arrival for a nominal fee of $150 per person (includes Wednesday dinner & overnight accommodation, & Thursday breakfast.* Yes No
Registration Information
Name:	First Name: * Last Name : *
	Title: Email: *
Organization:	*
Address:	*
Address:	City: * State: Zip code:
Business Telephone: * Fax:
Special Needs: (Please let us know of any special requirements such as dietary restrictions you may have)