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2003 RIE Conference Registration

Please print, complete and mail this registration form to:

Debbie Bergstrom
Registrar
2410 Madera Circle
Port Hueneme, CA 93041

CONFERENCE FEES, including LUNCH (regular or vegetarian – circle one):

 

Pre Registration

On-Site Registration

RIE Members

$45

$55

Non Members

$55

$65

Student

$25

$30

 

 

 

Conference Fee Plus RIE Membership

$80

$90

Conference Fee Plus RIE Membership for Student

$50

$55

 

Name

 

Organization

 

Street Address

 

City

 

State/Province

 

Zip/Postal Code

 

Country

 

Work Phone

 

Home Phone

 

FAX

 

E-mail

 

 

 

Payment:

 

__Credit Card:

___VISA      ___MasterCard

Card Number

 

Expiration Date

 

Cardholder Name
if different than above

 

 

 

___Check:

Please enclose check  payable to “RIE Conference”


 

 

RIE:
1550 Murray Circle, Los Angeles, CA 90026 
telephone: +1 323 663-5330, fax: +1 323 663-5586
e-mail: educarer@rie.org
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© Copyright Resources for Infant Educarers, 2004 All Rights Reserved
Last updated: April 11, 2005