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State:
Zip:
Daytime Phone (Include Area Code):
Registering as "Staff
Member/Professional With Agency"
will be selected as "quantity" at checkout payment page.
Group/Organization:
Address:
City:
State:
Zip:
Number of People Attending
From Your Organization:
List All Additional Names of Persons Attending Conference:
Name#1:
Name#2:
Name#3:
Name#4:
Name#5:
Name#6:
Name#7:
Name#8:
Name#9:
Name#10:
SPECIAL ACCOMMODATIONS:
Please Choose All That Apply
Sign Language Interpreting Services
Accommodations for Conference Materials
Vegetarian Meals
Specially Prepared Food:
Other: Please Specifiy:
PLEASE READ - Terms & Conditions
of Cancellation/Refund
Policy
- Cancellations must be in writing
- All cancellations will be subject to a 50% administration
fee.
- Cancellations AFTER March 27, 2008 cannot be refunded (including
"no-shows").
- Substitutions are welcome with advance notice
- Mail Cancellations to: CSLN - Attn: Sandra Wyspianski
4740 Murphy Canyon Road #300, San Diego, CA 92123
I agree to the above Cancellation/Refund
Policy
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