Web Development Workshop Registration

Please complete the following form to register for the 2011 Web Development Workshop in Dearborn, Michigan. The registration deadline is Friday november 18th.

First Name	Last Name
Address
City	State    Zip Code
Phone Number	E-Mail Address
()-
Day 1 Session	Day 2 Session
HTML5 PHP MySQL	C# Java
Package
Workshop only ($299) Workshop and Special Rate Hotel Acomodations ($399)