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WABC Conference 2007 October 21, 22, & 23, 2007 |
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World Aquatic Babies Congress • World Aquatic Babies & Children 9th International WABC educational conference-for leading learn-to-swim teachers & program directors |
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Form for Fax registration to WABC fax # (country code) 01 727 230 7489 REGISTRATION FORM - page 1 Please list all participants - guests Please Print Clearly in English Date ________Name_____________________________________________________ Total ______ Name_____________________________________________________ Total ______ Name_____________________________________________________ Total ______ Name_____________________________________________________ Total ______ Organization Name _____________________________________________________ City__________________________ State or Region __________________________ Country _____________________________________ Email ________________________________________________________________ Fax _______________________________ Telephone _________________________ Web Site ____________________________________________________________ Registration Fees include all conference sessions, Sun. luncheon, Sun. evening opening Tampa Bay-view reception, Mon. evening Gulf of Mexico-view reception, and Tues. luncheon __ We hold a WABC Program Passport membership which includes our staff __ I hold a WABC Individual Passport membership for myself
Payment to accompany
registration: __ Credit or Debit Card: Master Card or Visa only List information below & print clearly __ Mailing a check drawn on a United States bank in United States funds Card
Holder Name as it appears on card _______________________________________ Card Number_____________________________ Expiration Date
_______ L __
please enter my name and contact information onto the “Roommate Finder” list shared
Arriving
St Petersburg
Cancellations/Transfers:
All cancellations will be charged a $50 non-refundable
REGISTRATION FEES - retain for your records - page 3
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