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PXE Awareness |
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Volume 13, Issue 2. July 2007 |
NAPxE – National
Association for Pseudoxanthoma Elasticum
8760
Manchester Road
St.
Louis, MO 63144-2724
Telephone:
314-962-0100
Website: www.napxe.org Email: napestlouis@sbcglobal.net
REGISTRATION FORM –
2007 ANNUAL MEETING
Friday,
September 28 – Saturday, September 29, 2007
Registration fee of $45 per
person includes all programs, Friday evening’s reception/supper , Q & A
sessions, Saturday lunch and refreshments.
NAME
____________________________________
PHONE ____________________
ADDRESS
_________________________________
FAX _______________________
CITY
_____________________________________
EMAIL _____________________
STATE
__________ ZIP ___________
COUNTRY __________________
ARRIVAL
DATE __________________
NUMBER
ATTENDING MEETING ______ x $45.00 = AMOUNT ENCLOSED $________
NAME(S)
OF GUEST(S) ATTENDING WITH YOU:
You
are responsible for making your own hotel reservations.
Please call the Holiday Inn Select, Atlanta Airport South in Atlanta, Georgia, at
1-404-763-8800 or 1-877-843-3621. Be
sure to call by September 7, 2007,
and say you are with NAPE to get the group rate of $85 per night (single or
double) plus tax. Parking onsite is
free and hotel-airport shuttle is available free.
Payment
of the registration fee must accompany this form. Please make your check payable to NAPE, Inc., in U.S.
currency. We cannot accept credit
card payments. Mail your
registration and check to NAPE at the address shown above.
We will send you a confirmation packet if registration is received by
September 7.
If
you require special assistance to participate fully, please provide a written
description of your needs. Vegetarian
meals can be accommodated.
SIGNATURE
________________________________
DATE _____________________
Please
mail this form to NAPE with payment by September 7, 2007
CANCELLATIONS
ARE NOT REFUNDABLE AFTER SEPTEMBER 7, 2007