| Registration Fee: |
$ 100.00
Incl. Refreshments and two Luncheons. |
| Daily Rate: |
$50.00 per day |
| Room rate: |
$129.00 per night
Call 412-682-6200 for reservations. |
COMMUNITY FORUM for Parents, Teens, and Concerned Adults
Free & Open to the Public (Registration Required)
|
| Name |
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| Title |
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Company/Organization/Affiliation |
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Email Address |
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| Phone # |
|
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Address |
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Address Line 2 |
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City
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State
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Zip
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Conference Only |
Full Conference Total
(Luncheon included) |
$
.00
($100.00)
Please check for Vegetarian Meal
|
Daily Rate |
|
October 18th |
October 19th |
$
.00 ($50.00 per day) |
Please select your first and second choice of tracks: |
| 1st Choice: |
|
| 2nd Choice: |
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| |
| Please make check payable to and mail to:
Educating Teens about HIV/AIDS Inc.
1425 Pennsylvania Avenue
Pittsburgh, PA 15233 |
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