Conference Registration

ConferenceRegistration

Thank you for registering to attend the 2015 5p- Society Annual Conference. We want to make the process as easy as possible. This is a family registration form. Please note that a child is considered under 17 and will receive a child"s meal at the banquet. If you would like your "child" who is under 17 to receive an adult meal, please indicated under "meal selection." Your registration fee will increase by $25.00. We recognize that some adults with Cri du Chat Syndrome may need a soft meal and the children"s meal would be a better choice for them. If this is the case, please indicate under "meal selection." Please fill out completely for each person who is attending. If you require additional space, please send an email to director@fivepminus.org. T-shirts may be ordered with your registration form. To guarantee your t-shirt order is received, please return this form no later than July 1, 2015. If you have any questions about this conference registration, please call 1-888-970-0777.

Family Registration - (up to 2 adults & 2 children under 17)

Member ($150)Non-Members ($200)

AdultChild (CdCS only)

ChildAdult (Additional $25)None

On the next page you can register your additional adults and additional children

Additional Adult Registration - $50.00 each

AdultChild (CdCS only)

Additional Child Registration - $25.00 each

ChildAdult (Additional $25)None

ChildAdult (additional $25)None

ChildAdult (Additional $25)None

Conference Information

crib (there will be an extra charge by the hotel for a crib)refrigerator (there will be an extra charge by the hotel for a refrigerator)high chair

Sheraton at Keystone Crossinga different hotelat homeOther

If you do not want to pay through PayPal, please stop here, print your form and send it into the 5p- Society office by mail with your payment by check or money order in US funds made payable to 5p- Society, PO Box 268, Lakewood, CA 90714.

If you want to pay with credit card through PayPal, please fill out the information below checking the correct boxes and adding in the correct quantities and then hit the "Proceed to Checkout" button. Through PayPal you can pay by Visa, Mastercard, American Express, Discover, PayPal and echeck.

If you have any questions contact the 5p- Society at director@fivepminus.org