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REGISTRATION FORM <br /> SOUTH CENTRAL REGIONAL SECRETARIAL FORUM <br /> BORDEAUX MOTOR INN <br /> 1707 OMEN DRIVE <br /> FAYEITEVILLE, N. C. <br /> September 22-23, 1987 <br /> Please type or print: <br /> NAME: (Last) CLEMENTS (First) SYLVIA <br /> AGENCY I WILL BE REPRESENTING: ORANGE COUNTY BOARD OF COMMISSIONERS <br /> MAILING ADDRESS OF AGENCY: 106 E. MARGARET LANE <br /> HILLSBOROUGH, NC 2727$ <br /> PHONE: (919) 732-8181 . Ext. 510 <br /> CONTACT PERSON: BEVERLY A. BLYTHE, CLERK TO THE BOARD <br /> (Name of person in my agency who can be contacted in case addi- <br /> tional information is needed concerning the Secretarial Forum. ) <br /> Please return this form prior to September 15, 1987 along with your check in <br /> the amount of $9.00 (for one day), $18.00 (for both days) to: <br /> Helen R. Moress, Director <br /> South Central Regional Personnel Office <br /> 225 Green Street, Suite 503 <br /> Fayetteville, N. C. 28301 (Courier 106-A) <br /> Checks should be made payable to the Department of Human Resources and marked <br /> "For Secretarial Forum". <br /> A SEPARATE REGISTRATION FORM MUST BE FILLED OUT FOR EACH PARTICIPANT! <br />