"Journey of the Heart" Conference May 13-15, 2011 Name Are you attending the conference for the first time? (Check one.) Yes No (returning) Address City State Zip Phone E-mail address Desired Roommate(s) Childs Name Child’s Birthday Date of Loss The cause of your child’s death is important so that we can include you in the Circle of Love with other moms with similar losses. The following registration fee includes: Lovely room overlooking the water at the Wyndham Hotel Orange County (transportation to/from John Wayne Airport) for two nights/three days, dinner Friday evening, breakfast Saturday morning, lunch Saturday, dinner Saturday evening and breakfast Sunday morning. The conference fee and materials for workshops is also included. Registration begins on Friday at 3:00 p.m. The conference starts at 6:00 p.m. with dinner Friday evening and concludes Sunday at noon. A letter with directions and further information will be sent to you upon receiving your registration, or within two weeks of the conference. Preferred Accommodations (Please select one) SINGLE $360.00 per person One king bed/single occupancy/5 meals/all fees DOUBLE $260.00 per person Two queen beds/double occupancy/5 meals/all fees TRIPLE $210.00 per person One king bed, one pull out double size couch/triple occupancy/5 meals/all fees COMMUTE $110.00 per person No room at the hotel/commuting from elsewhere to conference, 2 dinners/1 lunch $100.00 per person non-refundable deposit is due with registration. Payment in full is requested two weeks prior to conference date. Do you need to stay at the hotel any extra nights? ($120 single - $60 double - $40 triple per night) If so, please give details: SPECIAL NEEDS: Please be specific. Let us know if you are disabled in any way or if you have dietary needs: When you click the Continue Registration button below, you will be asked to pay a $100.00 per person non-refundable deposit by making an online payment or sending it in via mail. (You can also make full payment if you choose.) For further information please call: Bev (714) 554-5943 or Daisy (760) 328-7142 Payment in full is required one month prior to conference date.
"Journey of the Heart" Conference May 13-15, 2011
Name Are you attending the conference for the first time? (Check one.) Yes No (returning) Address City State Zip Phone E-mail address Desired Roommate(s) Childs Name Child’s Birthday Date of Loss
The cause of your child’s death is important so that we can include you in the Circle of Love with other moms with similar losses.
The following registration fee includes: Lovely room overlooking the water at the Wyndham Hotel Orange County (transportation to/from John Wayne Airport) for two nights/three days, dinner Friday evening, breakfast Saturday morning, lunch Saturday, dinner Saturday evening and breakfast Sunday morning. The conference fee and materials for workshops is also included.
Registration begins on Friday at 3:00 p.m. The conference starts at 6:00 p.m. with dinner Friday evening and concludes Sunday at noon. A letter with directions and further information will be sent to you upon receiving your registration, or within two weeks of the conference.
Preferred Accommodations (Please select one)
Do you need to stay at the hotel any extra nights? ($120 single - $60 double - $40 triple per night) If so, please give details: SPECIAL NEEDS: Please be specific. Let us know if you are disabled in any way or if you have dietary needs:
When you click the Continue Registration button below, you will be asked to pay a $100.00 per person non-refundable deposit by making an online payment or sending it in via mail. (You can also make full payment if you choose.)
For further information please call: Bev (714) 554-5943 or Daisy (760) 328-7142 Payment in full is required one month prior to conference date.
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