Print this form and mail or fax to ACONE at 508.366.6813.

ACONE - The Silent Children: 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:
_____ $15 per person ACONE member
_____ $25 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.

For information or copies of this flier, call 508.366.6812 or 1.800.93 ADOPT or visit us online at www.adoptioncommunityofne.org
There is a $5.00/person fee for processing a change of registration or refund.
Any change in registration must be made at least 48 hours before the seminar to avoid forfeiture of the full registration fee.

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.