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/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: www.MorenoInstituteWest.org

Phone: 1.408.924.3636

Fax: 1.408.578.0604 Attn: Moreno Institute West

Please Return This Portion With Your Conference Fee

Name: _________________________________ Title: __________________________

Address: _________________________________

Street

_________________________________ __________________________

City State Zip Country

Organization/School District __________________________________________________

Telephone: (___) ___-_____

Email: ______________________________________________

Cell Phone: (___) ___-_____

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 out 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!

Registration - Printer friendly version

General Information: Darcy.Erickson@MorenoInstituteWest.org

Webmaster: schaffer@cruzio.com