Print this form and mail or fax to ACONE at 508.366.6813.
ACONE - Attachment and Emotional Health: Registration
Please process this registration for _______ seat(s) for _______________________________ (date/time).
Name(s) _____________________________________________
Address _____________________________________________
City/State/Zip _________________________________________
Phone ______________________________________________
E-mail for confirmation ________________________________________
Registration Fees Enclosed:
_____ $25 per person ACONE member
_____ $35 per person nonmember
______ Total Enclosed
______ Payment by check or _____ Visa/Mastercard/Discover
#_______________________________Exp. _______
3 digit # on back of card _______
Name and billing address (if different from above):
_____________________________________________
_____________________________________________
Please tell us where you heard about this program: ____________________________________________
Mail payment to: ACONE, Inc., 45 Lyman Street #2, Westborough, MA 01581.
Registrations charged on MasterCard, Visa or Discover may be faxed to us at 508.366.6813.
Adoption Community of New England, Inc. is a non-profit support and educational group of adoptive, foster and pre-adoptive parents and professionals interested in adoption. ACONE does not endorse any one kind of adoption, only the right of every child to permanency. Individual presenters are chosen because of their expertise in a given area, but is not responsible for the content of their remarks. This seminar is educational in nature and should not take the place of appropriate professional services.
