Sponsored by:
Conference
on Intestinal Health Through Diet
January 4 - 6, 2002
Tucson, Arizona
REGISTRATION FORM
Instructions:
- Print this page.
- Complete all of the fields for each person attending. Write legibly. Make a copy of the completed form for yourself.
- Mail the completed form, along with full payment for the General Session and desired Optional Events to the address at the top of the form. Make checks payable to Michael Simons. Sorry, credit cards are not accepted.
- Your registration will be confirmed via e-mail. Refunds can not be issued for cancellation; you will, however, receive the Conference Proceedings in the mail.
Note: Your contact
information will be included in the Conference Proceedings; please notify
us if you do not wish to be listed there.
Also, out of respect for those with sensitivities, please do not wear
any perfume or strong deodorants during the Conference. Thanks!
Fill in the form below and send your check to:
Attendee Information
(required for EACH person attending)
| First Name: | |
| Last Name: | |
| E-mail address: | |
| Telephone: | |
| Address line 1: | |
| Address line 2: | |
| City, State: | |
| Zip Code: | |
| Country: | |
| Disease / illness: | |
| How did you learn about this event? | |
| Total Payment ($U.S.): | |
| Comments: | |
| Out-of-towner information | |
| Chosen Accomodations: | |
| Arrival Date / Departure Date: | |
I will attend (check or circle all that you wish to attend):
Friday, January 4th:
@ Windmill Suites
at St. Philip's Plaza, 4250 N. Campbell Ave.
(520) 577-0007
- Conference kick-off
- Keynote speech
Saturday, January 5th:
@ Best
Western Inn Suites, 6201 N. Oracle Rd.
(520) 297-8111
- Panel discussion on intestinal health
- Question and answer session
- "Birds Of A Feather" workshop and support group: personal habits to improve intestinal health
Sunday, January 6th:
@ Best
Western Inn Suites, 6201 N. Oracle Rd.
(520) 297-8111
- Workshop: benefits of self-administered acupressure to aid intestinal health.
- Discussion: benefits of colon hydrotherapy.
General Sessions Cost Per Attendee:
- General Session cost includes: all Day 1 activities, all Day 2 activities and workshops (except optional activities), all Day 3 activities, as well as printed Conference Proceedings with Lessons Learned, shared Recipes, and more!
- $30.00 (U.S.) PER PERSON.
