Healing Touch California
2nd Annual Regional Symposium
 Sunday, April 27, 2008, 8:30 a.m. – 5:30 p.m.
Holiday Inn, 1740 North First Street, San Jose, CA 95112
REGISTRATION FORM

Your Name: Todays Date:
Credentials: Home Ph:
Home Addr: Cell Ph:
City, St, Zip Occupation
Name Preferred on Badge: Member # HTI#
AHNA#
E-Mail Addr:
    I am a CHTP/I , CHTP , HT Student , Level

Registration includes Continental Breakfast & Lunch

  Received by March 15th: Received after March 15th:
  $125 – HTI/AHNA Members* $150 – HTI/AHNA Members*

*To receive discount, your HTI or AHNA member # MUST be entered above
  $150– Regular Tuition $175 – Regular Tuition
  $ 80 – Full-time Students $ 95 – Full-time Students
I am requesting the 5 CEU’s for the Regional Symposium, April 27 for an additional $5.00
Registration Amount(s) Enclosed:  
(Please add all fees that are checked including $5, if CEUs are requested)

I will be attending the Pre-Symposium Saturday Evening “Networking” No-Host Cocktail Social/Dinner and Pinning on April 26, 5:30 p.m. – 8:30 p.m.

SEND CHECK PAYABLE TO HT CALIFORNIA WITH THIS REGISTRATION FORM
TO: Margie Ford, CHTP,  691 Drucilla Drive,  Mountain View, CA 94040

To reserve Hotel Room(s) at HT CA Discounted Rate of $89 + Tax (Single or Double) please call the Holiday Inn (800) 465-4329 Hotel location: San Jose, CA - 1740 North First St.
There is a free hotel shuttle service to and from the San Jose Airport for hotel guests.

Questions? Contact the HT CA Registration Committee at info@HealingTouchCalifornia.com
Do you wish to be on an attendance roster?   YES   NO

Signature ___________________________________________Date________________
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Official Use Only:  Date Received____________ Check #_________Check Amount______