Moreno Institute West

2003 Conference Fees

October 3, 4, 5

 

	Pre-Conference	Dedication Celebration	Conference Fee	One Day Only	Group Rate,  6+ persons
Early Bird Fees Application must be postmarked no later than September 12, 2003	$95 Regular $75 Student*	$20 Same fee for students	$175 Regular $95 Student*	$85 Same fee for Students	$95 per person; no student group rate
**Regular Fees After September 12, 2003	$95 Regular $75 Student*	$20 Same fee for students	$200 Regular $125 Student*	$85 Same fee for Students	No group rates after September 12, 2003

 

*Students MUST show a student I.D. when picking up registration materials.  To qualify for student rates, the registrant must be a currently enrolled K-12, college or university student.

**If space exists, there will be on-site registration. Regular fees apply during on-site registration.

Continuing Education Units can be arranged at the registration area of the conference.

 

Lodging: Marriott Hotel, Santa Clara, 1.800.228.9290 or 1.408.988.1500, $79/night before 9/19/03

           

Website: http://www.MorenoInstituteWest.org/

            Phone: 1.408.924.3636                      Fax: 1.408.578.0604  Attn: Moreno Institute West

 

Please complete and mail the following enrollment form.

 

Please Return This Portion With Your Conference Fee

 

Name:        _________________________________

 

Title:           _________________________________

 

 

Address:     _________________________________

                  Street

                  _________________________________

 

                  _________________________                  __________                ____________

                  City                                                              State                            Zip

                  _________________________

                  Country

 

Telephone:                (_____)______-__________

 

Email:                        ______________________________________________

 

Cell Phone:               (_____)______-__________

 

Organization/School District:__________________________________________

 

How did you learn of Moreno Institute West?___________________________________

 

Indicate each portion of  the conference you are attending by entering the appropriate fees.

 

Pre-Conference workshop              _________

Dedication Celebration                   _________

Conference Fee                              _________

One Day Only                                _________

Group Rate W/6+ people               _________

(Each member of the group must submit a separate registration form and
 turn it in with the group, including fees.)

 

Total Fees                                      _________

Please indicate your choice of seminars:

	First Choice	Second Choice
Saturday Morning
Saturday Afternoon
Sunday Morning
Sunday Afternoon

Please make all checks, money orders or purchase orders payable to Moreno Institute West.

 

Mail to:           Moreno Institute West

                        5667 Snell Avenue, Suite 178

                        San Jose, CA  95123

 

Thank you!  Enjoy the Moreno Institute West 2003 Conference!