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					                   How To Register for a One Voice Conference and Forum in 5 easy steps!
Step 1: Complete the form below for each registrant (when registering a group indicate group discount below):
Your Full name:________________________________________ Email address:___________ Phone: _____________
Street Address: __________________________________ City_______________ State_____ Zip Code:____________
Country:___________ Name as it should appear on conference badge: ______________________________________

Step 2: Indicate below the type of registration desired. Check desired registration below 

□ Educator/Presenter Full Conference Registration
         Santa Fe         □ Early Bird until 10/5 @ $460 □ Standard from 10/6–11/18@ $490                              □ Late after 11/18@ $520
         Denver           □ Early Bird until 4/16 @ $438 □ Standard from 4/17-5/29 @ $470                              □ Late after 5/29 @ $498
         San Francisco □ Early Bird until 5/16 @ $499 □ Standard from 5/17- 6/17 @ $535                                □ Late after 6/17 @ $568
         Seattle          □ Early Bird until 6/16 @ $490 □ Standard from 6/17- 7/14 @ $550                             □ Late after 7/14 @ $584
□ Educator/Presenter Full Conference Discounted Registration plus ELC Membership
         Santa Fe         □ Early Bird until 10/5 @ $520 □ Standard from 10/6-11/18@ $550                              □ Late after 11/18 @$580
         Denver           □ Early Bird until 4/16 @ $498 □ Standard from 4/17-5/29 @ $530                              □ Late after 5/29 @ $558
         San Francisco □ Early Bird until 5/16 @ $559 □ Standard from 5/17-6/17 @ $595                                 □ Late after 6/17 @ $628
         Seattle          □ Early Bird until 6/16 @ $550 □ Standard from 6/17- 7/14 @ $610                             □ Late after 7/14 @ $644
□ Student Full Conference Registration
        Santa Fe          □ Early Bird until 10/5 @ $405 □ Standard from 10/6-11/18@ $453                              □ Late after 11/18 @$520
        Denver            □ Early Bird until 4/16 @ $418 □ Standard from 4/17-5/29 @ $438                              □ Late after 5/29 @ $498
        San Francisco □ Early Bird until 5/16 @ $477 □ Standard from 5/17-6/17 @ $495                                  □ Late after 6/17 @ $568
        Seattle           □ Early Bird until 6/16 @ $490 □ Standard from 6/17- 7/14 @ $510                             □ Late after 7/14 @ $584
□ Student Full Conference Discounted Registration plus ELC Membership
        Santa Fe          □ Early Bird until 10/5 @ $430 □ Standard from 10/6-11/18@ $478                              □ Late after 11/18 @$545
        Denver            □ Early Bird until 4/16 @ $443 □ Standard from 4/17-5/29 @ $463                              □ Late after 5/29 @ $523
        San Francisco □ Early Bird until 5/16 @ $502 □ Standard from 5/17-6/17 @ $520                                  □ Late after 6/17 @ $593
        Seattle           □ Early Bird until 6/16 @ $515 □ Standard from 6/17- 7/14 @ $535                             □ Late after 7/14 @ $609
□ Saturday-Only Conference Registration for Educators, Presenters or Students
        Santa Fe          □ Early Bird until 10/5 @ $297 □ Standard from 10/6-11/18@ $327                              □ Late after 11/18 @$357
        Denver            □ Early Bird until 4/16 @ $334 □ Standard from 4/17-5/29 @ $364                              □ Late after 5/29 @ $394
        San Francisco □ Early Bird until 5/16 @ $360 □ Standard from 5/17-6/17 @ $406                                  □ Late after 6/17 @ $436
        Seattle           □ Early Bird until 6/16 @ $497 □ Standard from 6/17- 7/14 @ $537                             □ Late after 7/14 @ $567
□ Saturday-Only Educator/Presenter Discounted Conference Registration and ELC Membership
        Santa Fe          □ Early Bird until 10/5 @ $357 □ Standard from 10/6–11/18@ $387                              □ Late after 11/18 @$427
        Denver            □ Early Bird until 4/16 @ $382 □ Standard from 4/17-5/29 @ $424                              □ Late after 5/29 @ $454
        San Francisco □ Early Bird until 5/16 @ $369 □ Standard from 5/17-6/17 @ $466                                  □ Late after 6/17 @ $496
        Seattle           □ Early Bird until 6/16 @ $459 □ Standard from 6/17- 7/14 @ $550                             □ Late after 7/14 @ $580
□ Saturday-Only Student Conference Registration and ELC Membership
        Santa Fe          □ Early Bird until 10/5 @ $322 □ Standard from 10/6-11/18@ $352                              □ Late after 11/18 @ 392
        Denver            □ Early Bird until 4/16 @ $357 □ Standard from 4/17-5/29 @ $389                              □ Late after 5/29 @ $424
        San Francisco □ Early Bird until 5/16 @ $394 □ Standard from 5/17-6/17 @ $491                                  □ Late after 6/17 @ $521
        Seattle           □ Early Bird until 6/16 @ $424 □ Standard from 6/17- 7/14 @ $562                             □ Late after 7/14 @ $592

Step 3: Indicate number, if any, additional Dining-Only Tickets desired for children or companions traveling with you.
         QTY: __________ Dining-Only Tickets (for any event listed above) @ $150.00 = $_____________

Step 4: Total all selections above and subtract any discounts for which are eligible.   Subtotal: ________________
     Subtract Partner discount (if eligible): - $25.00 per registration                          ________________
     Subtract Group Registration discount ($20 per group member of 3 or more)                    ________________
         Please indicate names of other attendees in your group below:
         _____________________________________________________________
         Note: All group members must register at the same time to be eligible for discount.

         Subtract ELC membership Discount:
          Subtract member discount (Associate):                      - $50.00                                _________________

Step 5: Calculate Total due--------------------------------------------------------------------------------------- _________________
Step 6: Submit this completed form and payment:
            o By (secure) fax with credit card information completed (fax number below).
            o By mail to address below with check, money order, or certified check.
            o By fax or mail to notify Registration of a scheduled wire transfer (care of Rosanna Pittella) at address below.

Credit Card Information: Card Type (check one): ___Visa ___MasterCard ___ American Express

Total as above: $ __________ Card Number: ________ - ________ - _________ Card Exp. Date ___/___

CSC Code: _ _ _ (The CSC code is the 3 digit security code on back except in case of American Express, which is the 4 digit code

on the front of the card.) Card Holder Authorization Signature: _________________________________ Date: __________

Please note that all fees listed above are intended to be paid in full in US Dollars. Any discrepancy in payment received due to currency
conversion will be billed back to registrant. Your conference registration will be confirmed via email on receipt of your submitted
Registration Form and payment in full by check, money order, or certified funds to the address below. The One Voice Institute of
Elemental Ethics and Education, 7921 Deer Run Road, Glenside, PA 19038, Fax: 215-948-3398 Phone: 267-287-8357

				
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