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Attendee Information: |
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NAME: |
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ZIP:
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FAX:
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CONTACT EMAIL: |
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Please let us know a little about yourself by selecting from the following menus:
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Primary Role:
Years in Early Childhood/Pediatrics:
Setting:
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CONFERENCE REGISTRATION:
ALL DEADLINES EXTEDNED!
REGISTER NOW! |
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$140.00 Early Bird (Must be submitted no later than Friday • DEADLINE EXTENDED TO September 26, 2008)
$180.00 Standard
(Must be submitted no later than Friday • DEADLINE EXTENDED TO October 16, 2008)
$100.00 Student / DEEC
(Must be submitted no later than Friday • DEADLINE EXTENDED TO September 26, 2008)
Group Discount - Applies to Standard Registration Fee Only (Must be submitted no later than Friday • DEADLINE EXTENDED TO October 16, 2008)
$10.00 per person discount for 5-9 in a group
$15.00 per person discount for 10 or more in a group
(All groups must provide organization information above to receive discount!)
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| LUNCH SELECTION: |
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WORKSHOP SELECTION:
Please click here for a
full description of
Workshop Presenters,
Titles, and Objectives |
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AM Workshop Choices:
Morning Workshops 1st Choice
Morning Workshops 2nd Choice
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PM Workshop Choices:
Afternoon Workshops 1st Choice
Afternoon Workshops 2nd Choice
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CONTINUING EDUCATION: |
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METHOD OF PAYMENT: |
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CREDIT CARD NUMBER
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NAME AS IT APPEARS ON CARD: |
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