.ETHICS. CONFERENCE REGISTRATION FORM 

October 2, 2009

Hotel Murano, Tacoma, WA 

The National Rehabilitation Association is offering a one day training on Multicultural Ethics.  The conference will be held at the Hotel Murano inTacoma, WA on Friday, October 2, 2009 from 8:00 a.m. to 5:15 p.m.  Registration is at 7:00-8:00 a.m. 

Name: ___________________________________________________________

Company or Agency: ________________________________________________

Address: __________________________________________________________

Phone: _______________________

Email: ________________________ 

.  NRA Member ($115.00)                             .  Non-Member ($135.00) 

Late registration fee postmarked after 09-11-09.   

.  NRA Member ($140.00)                              Total Enclosed  ____________________

.  Non-Member ($160.00)      

                            (Please make checks payable to OCRA) 

For room reservations the night of 10/01/09, call the Hotel Murano toll-free at (877) 986-8083 or use the online link in the e-mail (Hotel Murano - http://www.hotelmuranotacoma.com )  . Please mention that you are attending the .NRA Conference.. 

List any Accessibility/Accommodation/Special Dietary Needs and submit by 09-15-09 _________________________________________________________________________

 

If you have any questions please call Barbara Berndt at 253-564-2489 or 253-318-9264 

To mail send this registration form with your payment made out to OCRA, NRA State Chapter

(no cash please) to: Janet Mott, RE:  Ethics Training: PO Box 1118, Edmonds, WA 98020-1118 

Or you may pay by VISA or MasterCard credit card on PayPal at

 

CREDIT CARD PAYMENT:  Complete this section if you wish to charge the fees due to your VISA, or

MasterCard.Charge $ to my .  VISA .  MasterCard 

Card #: ___________________________________ Expiration Date: _______________ 

Signature: _________________________________ Date: ________________________