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October 17-18, 2003 |
Registration Form – Connecticut |
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All rates are per person
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#People |
Item |
Register By 6/30/03 |
Register By 7/31/03 |
After 7/31/03 |
Calculate Amount Due |
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Registration Two-Day (Friday & Saturday) |
$150 |
$180 |
$210 |
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Registration: pre-conference ex-member workshop (Thursday 10:00 am - 5:00 pm) |
$45 |
$60 |
$75 |
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Registration: pre-conference family workshop (Thursday 10:00 am - 5:00 pm) Coping with Cult Involvement: A Handbook for Families and Friends is a required text for the workshop. Purchase at www.cultinfobooks.com or onsite. |
$55 |
$70 |
$85 |
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Registration: pre-conference workshop for mental health professionals (Thursday 7:00 pm – 9:30 pm) [Nonprofessionals may attend as observers.] |
Free |
Free |
Free |
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One-Day Registration: Friday |
$85 |
$105 |
$125 |
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| One-Day Registration: Saturday | $85 | $105 | $125 | |||
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Thursday Lunch |
$ 15 |
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Thursday Dinner |
$ 25 |
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Friday Lunch |
$ 15 |
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Friday Dinner |
$ 25 |
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Saturday Lunch |
$ 15 |
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Saturday Dinner |
$ 25 |
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Contribution |
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$ |
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Total |
$ |
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| 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: |
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