Self-Assessment Workshop 

Is Self-Employment for Me?

TO REGISTER, mail this form with $35* in cash, check or money

order (made payable to University of Hartford) to:

The Entrepreneurial Center

50 Elizabeth Street

Hartford, CT 06105-2280

Please check which session you are registering for:

Morning Sessions:  9:30a.m. – 12:30p.m.

___ 8/10/09 and 8/12/09       ___8/31/09 and 9/2/09     ___9/9/09 and 9/16/09

___9/14/09 and 9/21/09

Evening Sessions:  6:00 p.m. – 9:00p.m.

___8/11/09 and 8/13/09      ___9/1/09 and 9/3/09     ___9/10/09 and 9/17/09

___9/15/09 and 9/22/09

Saturday Sessions:  9:00 a.m. – 3:00p.m.

___Saturday 9/12/09    ___Saturday 9/26/09

Please provide the following information:

Name _______________________________ Home Phone_(___)______________________

Street_______________________________ Work Phone_(___)______________________

City, State, Zip___________________________________________________________________

E-mail ________________________________

How did you hear about The Entrepreneurial Center?_________________________________________

If you prefer, you may pay by credit card:

___MasterCard      ___VISA      ___Discover      ___AMEX

Account number:_____________________________________Expiration date:______________

Authorized signature_____________________________________________________________

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* Hartford Residents may be able to attend for free with proof of residency and income, contact us by phone at (860) 768-5681 or via e-mail at entrectr@hartford.edu for more information .