Lee County Project Pool
Saturday, March 28, 2015
Lee County Fair Grounds 8am – 12pm
Workshop Profile
Name(s) ______________________________________________________
Phone # __________________________
E-mail ___________________________
Title of workshop ___________________________________________
Description of workshop to be printed in brochure
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List any equipment that you would like Extension to supply or any tasks that you will need us to do to
help you prepare: (number of tables, copies made, supplies to be purchased, etc.)
_______________________________________
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List any equipment you will need the 4-Her to bring to the class
_______________________________________
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Maximum number of Participants per session ___________
Number of times willing to present session (max 4) _______
Please return this form by Monday, January 26th
280 W Wasson Rd
Amboy, IL 61310
kbook@illinois.edu
fax: 815-857-3527