PLEASE PRINT AND SEND IN WITH DEPOSIT
REGISTRATION | Deadline for pre-registration is July 1, 2002 Deadline for registration at full price is July 10, 2002 |
Name________________________________________ |
Phone ( )____________________ |
Address______________________________________________________________________ |
City/State/Zip__________________________________ |
E-Mail__________________________ |
My roommate will be________________________ OR |
-------------------------------------------------------------------------------------------------------
Please send this form with a $50 deductible (non-refundable) deposit to:
deposit (applied to your conference fee) must
accompany registration.
DeSales Resource Center, 4421 Lower River Road, Stella
Niagara, NY 14144
Phone/Fax: (716) 754-4948
Payment Enclosed: $________
In Addition, I am enclosing $_______ toward a scholarship for someone who could not otherwise attend.
DESALES RESOURCE
CENTER |