name_H1
Conferences

June 13-14, 2003
Orange, CA

 

 

Registration Form � California

  All rates are per person
 
  • Registration for this conference includes conference fee and 3 meals (breakfast, lunch, and dinner) for the days you are registered. Meals cannot be purchased individually.
  • Attendees sleeping at the conference facility reserve their rooms through AFF as part of their registration.  All rooms have private baths. Contact AFF if you want information on hotel accommodations.
  • Conference events on Friday and Saturday begin promptly at 9:00 a.m.  Arrive early to pick up your registration packet.
  • Coping with Cult Involvement: A Handbook for Families and Friends is a required text for the Family Workshop. Purchase at www.cultinfobooks.com or onsite.
  • Directions are available on the Facility Information page
  • There is no additional fee for those seeking California LCSW and/or LMFT CE credits. You will receive appropriate forms at the conference.
  • Don't forget to enter your roommate, if you have one, or, if you wish,  request that we assign you a roommate.
  • Your contributions will help us give discounts and scholarships to people needing financial assistance.
  • See discount columns for early registration fees.
  • Full refund up to one month prior to conference; partial refund thereafter.
  • Don't forget credit card information, if you use cc.
  • You may register online at our secure bookstore, or
  • By faxing, e-mailing, or mailing the form below.  (If it prints in an unusable manner, ask us to fax or e-mail you a form.)  Enter appropriate amounts for registration fees and accommodations on the right and total at the bottom, making sure that you adjust for the number of people registering. PRINT NEATLY! Fax, mail, or e-mail this form to:

    AFF
    ICSA - International Cultic Studies Association P.O. Box 2265 Bonita Springs, FL 34133
    fax: 305.393.8193
    e-mail: email_orderdept
   

Registration Form � California

Payment Methods: Visa, MasterCard, Check (U.S. Funds on U.S. bank):

CC No.                                                                                         Exp. Date:
Name(s):
Address:
City/State/Zip:
Country:
Phone(s)/Fax:
E-Mail:
If this form doesn't print adequately for you try this version.

No. People

Item

Register By 28 Feb. 03

Register By 30 Apr. 03

After
30
Apr. 03

Calculate Amount Due

 

Registration Two-Day Conference (Fr. & Sat.) Includes bk., lu. & din. on Fr. & Sat.

$200

$230

$260

 

 

Registration: pre-conference ex-member workshop (Thursday 10-5) Includes bk., lu. & din. on Thu.

$70

$85

$100

 

 

Registration: pre-conference family workshop (Thursday 10-5)   Includes bk., lu. & din. on Thursday

$80

$95

$110

 

 

One-Day Registration Check Day: Friday [     ]  Saturday [     ] Includes bk., lu. & din. for day checked.

$105

$125

$145

 

Accommodations

No. People

Will you have a roommate? [    ] yes; [    ] no.  If yes, who?

Do you want AFF to assign you a roommate? [    ] yes; [    ] no.  If yes, are you          [    ] male; [    ] female

 

Note: per person per day
Double rate on left
Single rate on right
Meals included in registration fee above.

Wednesday Night

$35

$50

 

 

Thursday Night

$35

$50

 

 

Friday Night

$35

$50

 

 

Saturday Night

$35

$50

 

 

Sunday Night

$35

$50

 

 

Linen Fee: one-time charge per person

$10

 

 

Optional meal tickets (3 meals/day) for early arrivals: $25 each per person. Specify day: Wed [   ]   Th [   ]

 

Check here if you are interested in staying more nights than those listed above  [     ] � We will contact you.

Contribution

$

Total

$