Name:
Address:
City:
State and Zip:
Telephone:
Email:
Will you be arriving Thursday or Friday?
Would you like a double room ($25 extra per person)?
Who would you like to room with (specific person or type of person)?
Do you have any special accessibility or dietary needs?
Do you have any medical conditions that might require emergency care (severe allergies, asthma, heart conditions, seizures, etc)?
If you are enclosing a donation to help a woman with fewer resources to attend, how much is it? (and thank you)
If you would like to offer a workshop, please describe it briefly, including any special equipment you will need:
Cost: $360 for the full conference, $260 for Friday through Sunday only. Deposit requested: $100 when you register. Remainder of payment is due on April 30, 2008.
Checks and money orders should be made payable to: Center for Gender Sanity. Mail completed form with deposit to: Center for Gender Sanity, PO Box 30313, Bellingham, WA 98228, or email it to . Click here to make a credit card payment.
Return to the Center for Gender Sanity Home Page.
This page last updated January 18, 2005.
www.gendersanity.com/register.shtml