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Registration Form

SATH 13th WORLD CONGRESS
 
January 4-8, 2009
Disney’s Contemporary Resort
Walt Disney World® Resort
 
 
REGISTRATION RATES
$299.00 – Registration rate
$139.00 – SATH member rate (expires November 30, 2008)
$169.00 – SATH member rate (from December 1, 2008)
$159.00 – Special pricing for approved organizations/associations*(expires November 30, 2008)
$189.00 – Special pricing for approved organizations/associations*(from December 1, 2008)
$109.00 – Companion, Spouse, Student, Educator rate*(expires November 30, 2008)
$129.00 – Companion, Spouse, Student, Educator rate*(expires December 1, 2008)
$25.00 – Cancellation fee prior to December 1, 2008
$99.00 – Cancellation fee from December 1, 2008
 
*Contact Susan@sath.org or call 561-361-0017 for details
 
2009 Conference Registration
 
Name/Title:_________________________________________________
 
Company:____________________________________________________
 
Address:____________________________________________________
 
City:_______________________State:_________Country__________
 
Telephone:________________________Fax:______________________
 
E-mail:_________________________________________________
 
Method of Payment (check one) o Check o Credit Card
 
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
 
Susan, SATH Congress Coordinator:
Tel: 561-361-0017
Fax: 561-361-0224
Email: susan@sath.org