Conference Registration Form
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Name:
Title:
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Fax:
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* Required Field
Registration Fee
Day 1
Day 2
Both Days
Pre-Register
(By April 21st)
$90.00
$150.00
$200.00
Day of Event
(April 24th / 25th)
$110.00
$175.00
$265.00
Chamber Member
$59.00
$99.00
$150.00
Student or Consumer*
$50.00
$50.00
$100.00
* Age 50 or older.
Additional Information
I would like a Certificate of Attendance:
I have a disability which may require special considerations:
Note:
The Lunch and Learn sessions do
not
apply to
Day 1
.
Please select your 1st Choice of
Lunch & Learn Sessions:
Track A.
Track A:
Please Select a Session to Attend
Session 1: Elder Law: What Juniors & Seniors Need to Know
Session 2: Myths of Grief and Loss
Session 3: Long Term Care as Part of Your Retirement Plan
Session 4: End of Life Planning
Session 5: Aging In Place and Universal Design
Session 6: Adult Learning and the Creative Arts
Session 7: Preparing Communities for Boomers
Session 8: Advance Directives
Session 9: Fears, Falls and Prevention
Session 10: Tuesday Toolmen Model Home Repair Program
Please select your 1st Choice of
Lunch & Learn Sessions:
Track B.
Track B:
Please Select a Session to Attend
Session 1: Identity Theft: Prevention & Detection in the Marketplace
Session 2: Media and the Mature Marketplace
Session 3: Career Busters: Caregiving Choices & Challenges
Session 4: Boomers, Internet, and the Knowledge Market
Session 5: The Power of Value-Based Marketing
Session 6: The Enrichment Factor: There's No Place Like Home!
Session 7: Boomerangs: ReInventing & Returning to the Workforce
Session 8: Economic Redevelopment: New Housing Options
Session 9: Twenty Insights into the Mature Marketplace
Session 10: American Legacies Study
Comments:
Method of Payment
Check:
Charge Card:
Conference Cancellation Policy
In order to receive a partial refund of your registration fee, your cancellation request must be received in writing prior to April 15, 2006. A $50 administrative fee will be charged for all cancellations, regardless of the reason for the cancellation (including medical emergencies). No refund of any kind, for any reason, will be given for cancellations requests received after April 15, 2006. Senior Summit cannot make exceptions to this policy. Refunds will be issued within 15 business days after the Conference on Aging in Northern Michigan concludes.
I agree to the terms listed above.
