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REGISTRATION
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Early-bird registration, by
May 1, 2007, is $900(USD) and includes five days of instruction facilitated by nationally-known educators, all session materials, three dinners, and breakfast and lunch on each day of the conference. The registration fee after May 1, 2007 is $1,100(USD). Please note: The registration fee does not include the cost of travel and accommodations.

Refund Policy
Requests for refund of registration fee must be received in writing
by May 21, 2007.
To register, please complete the registration form below and click the
"submit" button.

Select Fee Level



Sub Total Owed: $0.00(USD)

Payment Method


-------IATHE/IAPES
-------NINFD 2007
-------120 University, Suite 103
-------Ottawa, ON, Canada
-------K1N-6N5

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Credit card payment by fax: please click here to fill out registration form.



Prefix:------------------------------

First Name:------------------------ -----------

Middle Initial:---------------------- -----------

Last Name:------------------------ -----------

Preferred Name as you
want it to appear
o
n the Name Badge:-----------

Institution/Organization:-----_-

Title/Position:--------------------

Address 1:------------------------

Address 2:------------------------

City:--------------------------------

Province/State:------------------

Country:---------------------------

Postal/Zip Code:----------------

Home Phone:--------------------

Work Phone:---------------------

Work Fax:-------------------------

E-mail Address:----------------

(Confirmation of registration will be sent via E-mail. If you do not have an Email Address, you must create one to complete the registration. If you have not received email confirmation within 5 days, please contact the IATHE office by phone at 613 562 5800 ext. 2831)



Special Needs(ie. services/dietary)
Please check here if you have special needs


Please Note: Before submitting this form, please
print it out to have a copy for your records. print--------


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