Registration Form (one name per form)
Important! Please read registration information

Pre-registration ends at 5:00 p.m. on April 9, 2010.

After that time, your registration will be processed at the walk-in registration table on April 17th. Please print and fill out our printable registration form and bring it with you to facilitate processing.

Save! Join now and attend the conference as a member.
Extended family and birthfamily members can attend under your membership.

First/Last Name:

Member's First and Last Name
if Different From Registrant:

Street:

City/State/ZIP:

Telephone plus area code:

Email for conference confirmation:

Workshop Choices (Registrations are processed based on earliest postmark/fax receipt date with complete payment)

1st choice





2nd choice





3rd choice







Presenter/Panelist: No Yes

Purchase Box Lunch ($10): No Yes

 

Family Membership (At One Address)
New / $50 Renewal / $50

Registration Fees, per person (PM=postmarked, FR=fax received date)

Early Bird (PM/FR by 3/12): $60 member / $125 non-member

Standard (PM/FR 3/13-4/9): $90 member / $150 non-member

Late (PM/FR 4/10-4/17): $110 member / $175 non-member
For registrations received after 5 pm 4/9, attendees need to bring their own lunch

Donation (Please Check If You Prefer Anonymity Anonymous):

Donation $

Parking: Will need handicapped parking