SPECIAL EVENTS REGISTRATION FORM

Consultation on Debriefing and Renewal - CODAR
MTI Conference Center, Palmer Lake, CO
Registration simply requires submitting the below information and a $150.00 deposit per adult, per program. Upon receiving this form and deposit, MTI will confirm your registration with you. Please do not make travel arrangements until you receive this confirmation. Your class slot is not reserved until the deposit is received by MTI.
Which CODAR are you registering for?
 
April 27 - May 2, 2008
September 28 - October 3, 2008
April 26 - May 1, 2009
September 27 - October 2, 2009
Participant Info
Title
Full Name


MALE FEMALE
   
(spouse, if attending)
Title
Full Name
  MALE FEMALE
MAILING ADDRESS
(Business or Personal as you would like it to appear on the conference roster)
Street or PO Box
City
State
Zip
Country
Phone
E-mail
 
DEMOGRAPHIC INFORMATION:
Organization
Position

 

TRANSPORTATION:
Air
Car
 
PRICING:
CODAR 2008 Per person 2009 Per person
Registration Fee $150 $150
Consultation Fee, Meals & Lodging $615 $
TOTALS $765 $
PAYMENT OPTIONS:
Credit card online
Mailing check Please mail check today.
   
Comments
 
Cancellation Policy:
Registration fee is non-refundable if cancellation occurs within 45 days of the CODAR.
Phone registration and payment are also available by calling 800-896-3710.
 
Once you click the Submit button, it will take you to our secure on-line credit card processing system. If you are paying by credit card, please continue. If you are mailing a check, please click Submit and then close the window.
 

 

 

  CALL 800-896-3710
 

 

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