Registration Form

Wellness for Life: Empowering the Mind, Body and Spirit!

BACCHUS Area 1 Regional Conference

April 4th and 5th, 2008
Gonzaga University Campus

 Registration Information:

Fee  Description
Discount Code
$55.00 per person  BACCHUS Affiliate (before 3/31/08)  EARLYB
$65.00 per person  Standard (before 3/31/08)  EARLY
$85.00 per person  BACCHUS Affiliate Late (after 3/31/08)  LATEB
$95.00 per person  Standard Late (after 3/31/08)  LATE

Note that payment must be received by 3/31 to qualify for the early rates.  Refunds available prior to April 1, 2008.   After April 1, substitutions are possible, but refunds are not.

To register please fill out the form below.

Please pay special attention to the accuracy of your e-mail. You will receive a confirmation message via e-mail with specific payment instructions. Payments must be by check or money order.

Discount Code (if any):
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Last Name: *
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