OnLine Registration

HAWAII CONFERENCE ASSOCIATES   PRESENTS THE:
 
MAINTAINING EXCELLENCE CONFERENCE
 
May 19 to 23, 2008
Use this form to register for the Conference.  Information is confidential and sent directly to Hawaii Conference Associates.

Please provide the following contact information:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Work Phone
Home Phone
FAX
E-mail
          Registering for: (Check all that apply)
          Full Conference Sessions One through Four (May 19 to 23, 2008)
          Early registration    - $680.00 - Includes Hawaii State Excise Tax
          After May 1, 2007 - $760.00  - Includes Hawaii State Excise Tax
 
Register for select workshops: (less than full conference ,check all that apply)
         Session One (Monday May 19, 2008)
          Early registration -     $190.00 - Includes Hawaii State Excise Tax and Buffet Luncheon
          After May 1, 2007 -  $210.00 - Includes Hawaii State Excise Tax and Buffet Luncheon
 
          Session Two (Tuesday May 20 and Wednesday May 21, 2008)
           Early registration  -    $170.00 includes Hawaii State Excise Tax
           After May 1, 2006 -  $190.00 - includes Hawaii State Excise Tax
 
Session Three (Wednesday May 21 and Thursday May 22, 2008)
           Early registration  -    $170.00 includes Hawaii State Excise Tax
           After May 1, 2006 -  $190.00 - includes Hawaii State Excise Tax
 
Session Four (Friday May 23, 2008)
          Early registration       $190.00 - Includes Hawaii State Excise Tax and Buffet Luncheon
          After May 1, 2007 -  $210.00 - Includes Hawaii State Excise Tax and Buffet Luncheon
 
          California Psychologists: Required (Check here and supply License #)
MCEP Processing fee: $35.00
 
           License #   
           
Also send the following Luau tickets: (Wednesday night May 21, 2008)
           (Price includes gratuity and Hawaii State Tax)
Adult Luau Tickets ($70.00 each)
                     
Junior Luau Tickets (age 7 to 13 at $30.00 each)
           
Children Luau Tickets (age 3 to 6 at $19 each
 
Please provide the following ordering information:
BILLING
Credit card

Cardholder name

Card number

Security Code (3 number)  

Expiration date   (00/00)

 

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