Spotlight on GHB Conference Registration Form

How to register

 

 

1. You may register on-line at www.projectghb.org
 

OR...

2. Print and fax to: 801-382-4472
Mail payment to address at right--->
Print: DOC or PDF

OR...

3. Print and mail with payment to:
Project GHB Conference
 Ste. 101, PMB 434
2753 E. Broadway
Mesa, Az  85204

Project GHB Presents:

The International Conference on GHB & Other Chemical Drugs 
March 23-25, 2007
 Wyndham Hotel, Arlington (Dallas Area) Texas

Agency

Mailing Address

City/State/Zip

Day Phone - include area code    Fax -  include area code 

Evening Phone -  include area code 

Email Address Confirm Email:

Attendee(s):

  1. First Name, Last Name [Yours] Title
  2. First Name, Last Name Title
  3. First Name, Last Name Title
  4. First Name, Last Name Title
  5. First Name, Last Name Title
  6. First Name, Last Name Title

Which education track will you be taking?
(may attend classes, but we need to know primary interest)

Law enforcement, attorneys, judges, criminalists, & toxicologists
Medical (ER, rape treatment, research, coroners, addiction specialists)
School & Community Resources (including interested parents)

Attendance:


Three Days $190 - for registrations made between January 1st and February 15th, 2007 (can be paid any time).
NOTE: Special discount for agencies registering four or more people at one time; rate is $175 per person (blocks of four or more ONLY) between January 1st and February 15th, 2007. Registration forms must be submitted during this period; payment may accompany registration or be paid any time up to conference start.
Three days -- $220 for registration made after February 15th, 2007 and at the door.
($200 per person for block of four or more ONLY, if made during this time period)
Single Day Attendance -- $80 per day, regardless of date registered.

Additional Comments:


 

* REMEMBER:

Hotel Information for the March 23-25 2007

Hotel Reservations must be made directly with The Wyndham Arlington

Please call the hotel directly at:  800 442-7275 and inform them that you are with the Project GHB conference.  For more information on the hotel visit:  www.wyndhamarlington.com  Conference room rate is $111 plus tax.  Reservations must be made by February 15, 2007 to assure conference rate.