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employer leadership summit: Healthy LIving Healthy Working Series

SERIES SESSION #1: Employers Helping Employees to Better Health

June 21, 2007 8:00 am to 6:30 pm Park Plaza Hotel Bloomington 4460 W 78th Street Circle Bloomington, Minnesota 55435 952-831-3131

Includes lunch, breaks and reception.

Registration and Information

Sue Jesseman, BHCAG: 952-896-5186 E-mail: bhcag@bhcag.com Fax: 303-757-0146 Online: www.bhcag.com and www.healthanperformance.info

Register today

Name: __________________________________________________________________

Credentials:

__________________________

Preferred first name (for name badge): ________________________________________

Job title:

____________________________

Company:

____________________________________________________________________________________________________

Address: ______________________________________________________________________________________________________

City, State, Zip: ________________________________________________________________________________________________

E-mail:

Web site:

________________________________________________________________

____________________________

Telephone:

______________________________________________________________

Fax:

________________________________

Industry: ________________________________________________________________

Number of employees:

________________

REGISTRATION: Please e-mail your registration to bhcag@bhcag.com or mail to Sue Jesseman, BHCAG, 7900 International Drive, Suite 1080, Bloomington, MN 55425. Make checks payable to BHCAG. Online registration is also available at www.bhcag.com and at www.HealthAndPerformance.info.

_____ $129 per person includes lunch (registrations received by June 12, 2007) _____ $119 per person — two mor more from same company _____ $159 per person includes lunch (registrations after June 12, 2007)

Special requests: _____ Vegetarian meal _____ Fruit plate

Total amount: $_________

PAYMENT: Visa MasterCard American Express Please bill me

Card #: ______________________________________________________________ Name as it appears on card: ______________________________________________

Exp. Date:

____________________________

Billing address if different than above: Address: ____________________________________________________________________________________________________

City, State, Zip: ______________________________________________________________________________________________

P L E A S E S E N D M E M O R E I N F O R M A T I O N O N B E S T P R A C T I C E S A N D W E L L N E S S T O O L K I T P L E A S E I N C L U D E M E I N D I A L O G R E G A R D I N G S H A P I N G T H E H E A L T H A N D P E R F O R M A N C E I M P R O V E M E N T I N I T I A T I V E F O R A L L S T A K E H O L D E R S

Please contact Sue Jesseman for more information: 952-896-5186 bhcag@bhcag.com

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