Name (please print clearly) _______________________________________________________________
Organization (if any) _____________________________________________________________________
Mailing Address _______________________________________________________________________
City __________________________________ State ____________________
Zip___________________
Phone _______________________________________________ E-mail __________________________ |
REGISTRATION FEES: $200 per person
before March 28, $250 per person March 29 - April 18. Price includes the
welcome reception, two continental breakfasts, vegetarian lunch and dinner
on Saturday, the panel discussion sessions and workshops.
Optional
Advanced Intensive Seminars: $40 per person with full conference
registration; $60 without conference registration. (After March 28, add
$10.)
Registration must be received by April 18. Confirmation and directions
will be sent upon receipt of your registration fee. Space is limited.
Early Discount: On or before March
28
____ $200 Conference ONLY
(Saturday, Sunday)
____ $240 Conference AND Friday seminar (check
session you'll be attending below)
____$60 Friday seminar ONLY
(check session you'll be attenting below)
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Standard Fee: March 29-April 18
____ $250 Conference ONLY
(Saturday, Sunday)
____ $300 Conference AND Friday seminar (check
session you'll be attending below)
____ $70 Friday seminar ONLY
(check session you'll be attending below) |
Friday seminar: Circle which session
you will be attending.
Adoptions Spay/Neuter Fundraising Dog
Behavior Assessment
|
TOTAL $ __________ |
If paying by check:
Make payable to Best Friends NMHP Conference, and send along with
order form to:
NMHP Conference
Best Friends Animal Society
Kanab, UT 84741-5000
If paying by credit card:
Fax to: (435) 644-2087
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Credit Card Info:
VISA MC AMEX
DISCOVER/NOVUS (circle
one)
Card Number ____________________________________________
3 or 4 digit security code (found on signature strip
of card) ______________
Name (as appears on card) _________________________________
Expiration Date ________________ Zip Code __________________
Authorized Signature _______________________________________ |
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