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Registration



SATH 9TH WORLD CONGRESS

$125.00 REGISTRATION (until October 31,2004) Special discounted rate for affiliates of certain Industry Organizations and members of SATH

SATH members $149.00, after October 31, 2004

(Regular Registration $199.00)

January 12 –16, 2005
Hilton Miami Airport Hotel
Florida, Miami

2005 Conference Registration

Name/Title:_________________________________________________

Company:____________________________________________________

Address:____________________________________________________

City:_______________________State:_________Country__________

Telephone:________________________Fax:______________________

E-mail:_________________________________________________

Method of Payment (check one) o Check o Credit Card o Money Order

Credit Card: Name :_________________________________________

Number:______________________________________________________

Exp.Date:_________________

Name on Card:_______________________________________________

I hereby authorize SATH Conference to charge the congress registration fees to my credit card.

Signature:______________________________________Date:_______



If You Have A Disability, Please Complete The Following.

What is your disability?___________________________________

Do you need ASL interpretation for meetings?
Yes No

Do you need a wheelchair accessible hotel room?
Yes No

Do you need the agenda in an alternate format?
Yes No

Do you need a roll-in shower?
Yes No

Do you need wheelchair accessible transfers?
Yes No

If you need any special facilities because of your disability, please state below.
____________________________________________________________

____________________________________________________________


This form must be printed out and e-mailed, mailed or faxed to us. The web site does not support transmission.

For further information contact

The SATH Congress Coordinator:
Tel: 561-361-0017
Fax: 561-361-0224
e-mail: susan@sath.org


Hilton Miami Airport, Congress daily rate $153.00 per room, per night (plus tax). Request SATH Congress rate. Call 305-262-1000.