Registration

To register for the Richard Leider workshop on November 12, 2012:
  1. Fill out the registration form below and press the "Register" button. You will be directed to the payment page.

  2. Complete payment. We recommend Paypal or credit card to ensure timely registration; payment by check is also an option.

Note: Space for the workshop is limited. We will notify you when we receive your payment. Your registration is not complete UNTIL we have received your payment.


Registration Information:

Name:

Phone Number:

Email Address:

Country:
Street Address:

City:

State/Province: (select "n/a" for non-US, non-Canadian residents)

Zip Code:

Registration Options:

Check here if you want a vegetarian lunch.

Registration Type Registration Fee Amt Due
Conference Registration
$105.00

$
Total due: $

Refund Policy: Cancellations are accepted until October 15, 2012, and are subject to a cancellation fee of $30.00.

Questions? Contact the CAN-NM office via email (cannm_confreg@can-nm.org) or phone (505-897-1850).

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