Strategies for Success in 2016 Registration Form

Local Connections Global Influence

BASA and Squire Patton Boggs are pleased to present: Strategies for Success in 2017

Thursday, December 8, 2016 8 a.m. – 12:15 p.m. (lunch following) Two locations to choose from: Squire Patton Boggs 4900 Key Tower 127 Public Square Cleveland, OH 44114 T 216 479 8500

Complete registration form(s) and mail to: BASA 8050 North High Street, Suite 150 Columbus, OH 43235 or Fax to 614 846 4081 or Register online at www.basa-ohio.org

Squire Patton Boggs 2000 Huntington Center 41 South High Street Columbus, OH 43215 T 614 365 2700

Full Name . ............................................................................................................................................................................................................................ Title ........................................................................................................................................................................................................................................ Organization/School District ............................................................................................................................................................................................ Address ................................................................................................................................................................................................................................. City/State/Zip ....................................................................................................................................................................................................................... Phone . ................................................................................................................................................................................................................................... Fax . ........................................................................................................................................................................................................................................ Email ...................................................................................................................................................................................................................................... Conference Fees & Payment: There is NO charge for this seminar.

Location (check one) Cleveland

Columbus

Additional information: Participants in BASA workshops will receive a certificate of completion. Participants should discuss the outcomes of their experience with their Local Professional Development Committee (LPDC).

Continuing education credit will be available through Ashland University. Questions? For additional information, contact BASA at 614 846 4080.

squirepattonboggs.com

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