Name _______________________________________________________________

Employer ____________________________________________________________

Position ______________________________________________________________

Business Address ______________________________________________________

_____________________________________________________________________

City, State, Zip ______________________________________________________

Telephone (Work) _____________________________________________________

Fax Number __________________________________________________________

E Mail Address _______________________________________________________

Authorized Signature ___________________________________________________

Please fax this form to 508 788-6217 or mail this form with a check or purchase order for $199.00 to:

Mark D. Abrahams, President
The Abrahams Group
19 Ridgewood Street
Ashland, MA 01721

For more information contact Mark D. Abrahams at 617 803-8529 or at Bettergov@aol.com
or visit www.TheAbrahamsGroup.com. Check this web site for updates for the class schedule, registration, location and directions.