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EVOLVED LEARNING CONFERENCE

“Discover Your Potential”
presented by the F.A.M.E. Foundation

June 3 - 5, 2008
The Tucson Osteopathic Medical Foundation
3182 North Swan Road, Tucson, Arizona 85712

Continental Breakfast and Lunch are provided all three days.

Please Note:
This is an intimate conference
with registration up to 60 participants.
Please register as soon as possible to reserve your space

REGISTRATION INFORMATION
Last Name
First Name
Middle Name or Initial

Are you on staff with an Early Childhood Program? Yes No
Are you on staff with an Elementary School? Yes No
Are you on staff with a Middle School? Yes No
Are you on staff with a High School? Yes No
Are you on staff with a University? Yes No
Are you a University student? Yes No
Are you attending as a home school parent? Yes No

Program or School Name (if you are a home school parent, please type “Home School”

Title of Position
   
Mailing Address
City State Zip Code
Home Phone with area code  
Work Phone with area code  
Fax  
Email Address  
Website (if applicable)  

REGISTRATION FEES

I am registering for:

SUPER EARLY BIRD PRICE:
$300 per person (before May 11, 2008)

EARLY BIRD PRICE:
$400 per person (before May 25, 2008)

LATE PRICE:
$450 per person (after May 25, 2008)


Note:
To secure your registration you must place a non-refundable 50% deposit.

PAYMENT OPTIONS
Check Check #
Note: Please make checks out to “Evolved Learning”

Credit Card via Paypal