2018 ISM CONFERENCE REGISTRATION

ISSSEEM CONFERENCE REGISTRATION September 6-8, 2018-Unity Village, MO
Please complete form for each registrant as this is also used to produce name tags for the Conference.
FULL CONFERENCE FEE:

Early Bird Conference, Register before July 1, 2018 = $350;

Register between July 1-31 add $50 = $400;

Register between Aug 1-31 add $100 = $450; or

Register between Sept 1 and the conference add $150 = $500.
Full Name *

First Name Middle Initial Last Name

My Products

Option 1: Conference Only, No Meals - $ 350.00

Option 2: Wednesday Light Supper - $ 365.00

Option 3: Lunch & Dinner Thursday-Saturday Lunch - $ 465.00

Option 4: Conference & All Meals Wed Eve-Saturday Lunch $ 480.00

Pre-Conf. Workshop with Peter Woodbury-Sept. 5 $ 150.00

Post-Conf. Workshop with Eric Nepute-Sept. 8 $ 150.00

Total $ 0.00

Address *

E-mail *
Phone Number *

- Area Code Phone Number
Dietary Needs

Vegetarian Meals Non-Vegetarian Meals Gluten-Free Meals Vegetarian, Gluten-Free Meals
ISSSEEM Conference Refund Policy for 2018:

Through June 1 - Full Refund, less $50 administrative fee;

From June 2 through August 15 - 50% Refund, less $50 administrative fee; and

After August 16 - No Refund.
Check, if Yes

I require Disability Access for stairs at the Conference. I have previously attended an ISSSEEM Conference.
How did you hear about the Conference? *

Email Promotion Post Card Evolving Magazine Council Grove Conference Friend(s) Internet Other
Date *

- Month - Day Year
Enter the message as it's shown *
If you are outside the U.S., or have a problem working with this form, please email bursar@holosuniversity.org.
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ISSSEEM CONFERENCE REGISTRATION September 6-8, 2018-Unity Village, MO