NAMI NAMI Kansas

 


NAMI Kansas 2007 Annual Conference
REGISTRATION FORM
Mental Health at the Crossroads:
Seizing the Opportunity for Positive Change
  
Member registration fee
$85 each
Non-member registration fee
$115 each
Late fee (if registering after 9/20/07)
$30 each
 
Yes
No
Are you a current NAMI Kansas Member?
Will you attend the conference Town Hall meeting on Friday from 7:00 pm to 9:00 pm?
Will you attend the conference on Saturday?
Designated Consumer Council representatives only: Will you attend the NAMI Kansas Consumer Council annual meeting on Friday from 3:00 pm to 5:00 pm?
Designated Affiliate Leaders only: Will you attend the Affiliate Leaders dinner meeting on Friday from 5:30 pm to 7:00 pm?
Are you going to pay online?

Private rooms with bath are available for overnight lodging at a cost of $69 per night per room. Lodging rooms sleep up to 4 persons per room.

Overnight accommodations are available on a first come basis. Check in time is 4:00 pm on the day ot arrival. Checkout time is 11:00 am on the day of departure.

If overnight accomodations are needed please choose the following, to add it to your registration fees.
Overnight Friday October 19, 2007
$69 per room
Dinner Friday, October 19, 2007 @ 6:00 pm
$10 per person
Breakfast Sat, October 20, 2007 @ 8:00 am
$6 per person
First Name / Last Name
Street Address (include apt. #)
City / State
Zip
Daytime Phone - -
Email address

- This will clear the entire form.

For questions and information, please call (800) 539-2660 or e-mail namikansas@nami.org