How To Register for a One Voice Conference and Forum in 6 easy steps! Step 1: Complete the form below for each registrant (when registering a group indicate group discount below): Your Full name:________________________________________ Email address:___________ Phone: _____________ Street Address: __________________________________ City_______________ State_____ Zip Code:____________ Country:___________ Name as it should appear on conference badge: ______________________________________ Step 2: Indicate below the type of registration desired. Check desired registration below □ Educator/Presenter Full Conference Registration New York □ Early Bird until 9/15 @ $250 Santa Fe □ Early Bird until 10/5 @ $460 □ Standard from 9/15-11/6 @ $264 □ Standard from 10/6–11/18@ $490 □ On-site addl $25.00 □ Late after 11/18@ $520 □ Educator/Presenter Full Conference Discounted Registration plus ELC Membership New York □ Early Bird until 9/15 @ $305 □ Standard from 9/15-11/6 @ $319 Santa Fe □ Early Bird until 10/5 @ $515 □ Standard from 10/6-11/18 @ $545 □ On-site addl $25.00 □ Late after 11/18@ $575 □ Student Full Conference Registration New York □ Early Bird until 9/15 @ $214 Santa Fe □ Early Bird until 10/5 @ $405 □ Standard from 9/15-11/6 @ $230 □ Standard from 10/6-11/18 @ $453 □ On-site addl $25.00 □ Late after 11/18@ $520 □ Student Full Conference Discounted Registration plus ELC Membership New York □ Early Bird until 9/15 @ $229 □ Standard from 9/-11/6 @ $245 Santa Fe □ Early Bird until 10/5 @ $430 □ Standard from 10/6-11/18 @ $478 □ On-site addl $25.00 □ Late after 11/18@ $545 □ Saturday-Only Conference Registration for Educators, Presenters or Students Santa Fe □ Early Bird until 10/5 @ $297 □ Standard from 10/6-11/18@ $327 □ Late after 11/18 @$367 □ Saturday-Only Educator/Presenter Discounted Conference Registration and ELC Membership Santa Fe □ Early Bird until 10/5 @ $357 □ Standard from 10/6–11/18@ $387 □ Late after 11/18 @$427 □ Saturday-Only Student Conference Registration and ELC Membership Santa Fe □ Early Bird until 10/5 @ $322 □ Standard from 10/6-11/18@ $352 □ Late after 11/18 @$392 Step 3: Indicate number, if any, additional Dining-Only Tickets desired for children or companions traveling with you. QTY: __________ Dining-Only Tickets (for any event listed above) @ $150.00 = $_____________ Step 4: Total all selections above and subtract any discounts for which are eligible. Subtotal: ________________ Subtract Partner discount (if eligible): - $25.00 per registration ________________ Subtract Group Registration discount ($20 per group member of 3 or more) ________________ Please indicate names of other attendees in your group below: _____________________________________________________________ Note: All group members must register at the same time to be eligible for discount. Subtract ELC membership Discount: Subtract member discount (Associate): - $50.00 _________________ Step 5: Calculate Total due--------------------------------------------------------------------------------------- _________________ Step 6: Submit this completed form and payment: o By (secure) fax with credit card information completed (fax number below). o By mail to address below with check, money order, or certified check. o By fax or mail to notify Registration of a scheduled wire transfer (care of Rosanna Pittella) at address below. Credit Card Information: Card Type (check one): ___Visa ___MasterCard ___ American Express Total as above: $ __________ Card Number: ________ - ________ - _________ Card Exp. Date ___/___ CSC Code: _ _ _ (The CSC code is the 3 digit security code on back except in case of American Express, which is the 4 digit code on the front of the card.) Card Holder Authorization Signature: _________________________________ Date: __________ Please note that all fees listed above are intended to be paid in full in US Dollars. Any discrepancy in payment received due to currency conversion will be billed back to registrant. Your conference registration will be confirmed via email on receipt of your submitted Registration Form and payment in full by check, money order, or certified funds to the address below. The One Voice Institute of Elemental Ethics and Education, 7921 Deer Run Road, Glenside, PA 19038, Fax: 215-948-3398 Phone: 267-287-8357 Early Bird Benefits There are seven great reasons for registering early – we want to make sure that you know about so you can enjoy the benefits: 1) All Early Bird Registrants enjoy an individual discount . 2) All Early Bird Registrants with two other colleagues or more, enjoy an individual discount, plus another $20 discount. 3) All Early Bird Registrants individually will receive a free One Voice bonus gift, the official One Voice stainless steel commuter mug. 4) All Early Bird Registrants with two or more colleagues will receive a free One Voice bonus gift , the official One Voice messenger bag. 5) All Early Bird Registrants will be entered into a drawing for a FREE One Voice registration for a future conference. 6) All Early Bird Registrants will receive one FREE copy of the 2008-2009 One Voice Yearbook, a compilation of all One Voice presentation and proceedings yearbook upon publication. 7) All Early Bird Registrants will have priority placement in the conference schedule of all available unscheduled slots
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