Click here to register online. For mail registration please
5 Industrial Road, Ellsworth, ME 04605 Name______________________________ Address:____________________________ City:_______________________________ State:__________Zip:_________________ Phone:_____________________________ E-Mail:_____________________________ Professional/Paraprofessional 2 Day Attendance: $280 1 Day Attendance: $150 Parent or Non-Professional College Student 2 Day Attendance: $250 Individual 1 Day Attendance: $125 Individual Registration Cost Includes Continental Breakfast & Lunch Registrations after October 2, 2008 Professional/Paraprofessional 2 Day Attendance: $300 1 Day Attendance: $170 Parent or Non-Professional College Student 2 Day Attendance: $270 1 Day Attendance: $145 TOTAL COST OF REGISTRATION AND CEUs Please mark days attending: $ __________ Thursday, October 16, 2008 (Social Cognitive Deficits...) $ __________ Friday, October 17, 2008 (Thinking About YOU Thinking About ME) $ __________ BOTH DAYS: Thursday, October 16 and Friday, October 17, 2008 $__________ $15 ASHA CEU Fee for SLPs (only applicable to SLPs needing ASHA hours). This fee is payable to Dirigo Educational Conferences, Inc. to cover administrative costs. $ __________ TOTAL COST Check # ___________ PO #_____________________ Checks payable to: Dirigo Educational Conferences 5 Industrial Road, Ellsworth, ME 04605 CEUs:
Questions? Call 207-664-0757 E-mail: dirigobob@hotmail.com. Purchase Orders are accepted. No refunds for cancellations made seven (7) days or less prior to the event. A $25 handling fee will be charged for cancellations made before that time. |
