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Registration Form
(registration begins Jan 2008)

 

Name & Organization:

Address:

City/Province/State

Postal/Zip Code

Phone #:

Email:

Credit Card Number: Mastercard / Visa (circle)

Credit Card Expiry Date:

Registration Category	Registration Fee
Parent/Para/student	$ 275
Professional	$ 325
Group Rate (8 or more)	$ 275

** includes: refreshment breaks/ Lunch on own***

Payments: Registration will be accepted by phone, fax, mail, or e-mail. Payment can be made by Cash, Cheque, or Credit Card (Visa or Mastercard.)

Autism Calgary Association

174, 3359 27^th Street NE

Calgary, Alberta, T1Y 5E4

Phone: (403) 250-5033

Fax: (403) 250-2625

Cancellation Policy: An administration charge of $50.00 will be charged for all cancellations up to 30 days before the conference. No Refunds Will Be Granted After That Time.