Futurehealth Winter Brain, Optimal Functioning & Positive Psychology and StoryCon Meeting

Jan 19-22, 2007 Palm Springs, CA  Pre-Conference Courses Jan 15-18        

Registration   Speakers & Talks  

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2007 Conference

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2004 Conference/ Workshop Registration Form
Name:

Address:

Address:
City:                                                      State:              Zip:
PHONE:                                               FAX:
e-mail:
I have read the cancellation policy. Initial___
Payment by __Check __Mastercard  __AMEX, __VISA
#________________________________   exp.__________
Signature_________________________   Date:  ________
 
Register me for:   

Check Interests   Conference Choices                                        Price            _____

_____                           Preconference:          

                                     Which one?   ________________________             $ _________ 

_____                           Winter Brain Meeting                                         $__             

_____                           Other Conference eg. 3 day    

                                     List Choice   _______________                                $ _________

_____                           10 hr Optional Afternoon Workshop Package

                                      How many packages?   #__                                 $ ________

_____                            Other:        List __________________                     $_______

                                                                                                             Total =    _______

  Total $______ including 3% non-cash/check surcharge if applicable

 

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WBM @ Futurehealth, Inc.
211 N. Sycamore St.
Newtown PA 18940
voice 215-504-1700 fax 215-860-5374
 
See you soon.  Don't forget to reserve your room at the beautiful Hilton Hotel in downtown Palm Springs.
 
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