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                      Norma’s House 9th Annual Child Advocate Conference

          Friday, April 11, 2008 – Randall Rather Building 3rd Floor Conference Room
                                        Gonzales, Texas

              Please submit your registration form with check or money order made payable to:
                                               Norma’s House
                                      P.O. Box 1925, Gonzales, Texas 78629

    Registration begins at 8:00                    Lunch at 11:30         Afternoon Session begins at 12:45

                  Please submit one registration form per person. Please type or print clearly.

 Today’s Date:                                        How did you hear about us?

 Company or Agency:

 Person Attending:

 Mailing Address:

 City:                                                State:                  Zip:

 Phone:                                     Fax:                              Email:

    I will be a speaker at the Conference                                   No charge

    I am a Corporate Council Member                                         No charge

                                                                             Before March 21st   After March 21st

    Single Registration                                                       $40 per             $30 per

    Group Rate (5 or more)                                                    $45 per             $35 per

    Norma’s House Partner Agencies                                            $20 per

                 All attendees will receive a “Certificiate of Attendance” at no additional charge.

                               Please check if you plan on applying for CEU credit:

 TCLEOSE                 Social Work                LPC                Other

                                            METHOD OF PAYMENT
                           Make all registration fees payable to Norma’s House
 A single check or money order may be used for multiple registrants; however, please write the names of all
 registrants on the form of payment and include an individual registration form for each attendee. Written
requests for refunds will be honored if postmarked no later than April 1, 2008, however, a $10.00 handling fee
                                        will be deducted per registrant.

 Check #                           Money Order #                           P.O. #

                                                                             TOTAL AMOUNT ENCLOSED


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