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?
 
FULL -Please Call for Availability before Registering for CODAR
 
April 24-29, 2011
 
 

 
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 2010 Per person 2011 Per person
Registration Fee $150 $150
Consultation Fee, Meals & Lodging $647 $
TOTALS $797 $
PAYMENT OPTIONS:
Credit card online
Mailing check Please mail check today.
   
Comments
 

TRANSFER AND CANCELLATION POLICY

Deposit: A non-refundable deposit of $150/adult per program is required upon registration.

Transfer: Any transfer to a new program requires an additional $150/adult per program deposit.

Cancellation:  Cancellation results in the loss of your full deposit.  If you cancel within two weeks of the start of a program, you will lose your full deposit plus a cancellation fee of $150/adult totaling $300/adult.  This fee is deducted from any program payment monies already collected, billed to your credit card information on file or billed to your agency.

Late transfers and cancellations can result in others not being able to participate in MTI’s program.

Final payment: Final payment for the full balance of the program is due two weeks before the program start date.
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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