PLEASE PRINT AND SEND IN WITH DEPOSIT

REGISTRATION Deadline for pre-registration is July 1, 2002
Deadline for registration at full price is July 10, 2002

Name________________________________________		 Phone (       )____________________

Address______________________________________________________________________

City/State/Zip__________________________________		 E-Mail__________________________

Program, meals, double room by July 1 ($215) after July 1 ($230)

My roommate will be________________________ OR

Please Choose one for me.


Programs, meals, single room by July 1 ($260) after July 1 ($275)

Commuter (includes all meals) by July 1 ($160) after July 1 ($175)

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Please send this form with a $50 deductible (non-refundable) deposit to:
deposit (applied to your conference fee) must accompany registration.

DeSales Resource Center, 4421 Lower River Road, Stella Niagara, NY 14144
Phone/Fax: (716) 754-4948

Payment Enclosed: $________

In Addition, I am enclosing $_______ toward a scholarship for someone who could not otherwise attend.

DESALES RESOURCE CENTER
  4421 Lower River Road  Stella Niagara, New York  14144
  Phone/Fax (716) 754-4948  E-mail: [email protected]
  www.desalesresource.org