ENTER Your Company :
ENTER Your Address :
ENTER Your City & State :
ENTER Your Zip :
ENTER Your Phone Numbers (Include area code):
ENTER Fax Number:
ENTER E-MAil : required
ENTER Your Professional Affilation:
YOUR REGISTRATION OPTIONS: Full Registration Aug 3-6 ___ $195. AIM Member ___ $165. Student Registration with ID ___ $95. Half Day Only Thursday ___ $65. One Day Only Friday ___ $100. One Day Only Saturday ___ $100. Half Day Only Sunday ___ $65. Presenter ___ (presenter's 50% discount)
PRE_CONFERENCE INTENSIVES on Thursday Aug. 3, 2000 1-4pm: A. Spiritual Healing -Quantum Approach Dan Benor, M.D. __ $65. B. Freeing the Creative Spirit: A multi-Arts Approach - Lynn Miller, CMT --- $65. C. Intro to Alexander Technique Zora Natanblut RPT, PhD --- $65. D. Art of the Mandala .. Place in Holistic Medicine -Eva S. Forndran Ph.D, ACET --- $65. E. Healing with the the Energy of Angels - 8 hr course - Mike Wanner, M.Ms. & Rita Maute ___ $120. None
POST_CONFERENCE INTENSIVES on Sunday Aug. 6, 2000: Tony Brooks - Virtual Interactive Space --- $65. None
CE Credit Options: CMTE/NBCC Cont. Ed Credit processing __$20. (applies only to 5 hr. CE courses) CMTE/NBCC Cont. Ed Credit processing __$25. (applies to CE courses over 5 hr.) Not taking for CE credit __$0. None
Tax Deductable Contribution: 10. 25. 50. 100. 500. other
SELECT YOUR VENDOR OPTIONS: Basic 6 Ft. Table ___ $250. (includes conf registration) Ad Space in our Program ___ $75. - 1/8 page Ad Space in our Program ___ $125. - 1/4page Ad Space in our Program ___ $225. - 1/2page Ad Space in our Program ___ $400. - Full page Have your flyer inserted in our program packet ___ $50. Place Your Flyers on our info Table ___ $25. Web Page Ad ___ $5./mo. None
SELECT MORE VENDOR OPTIONS: Basic 6 Ft. Table ___ $250. (includes conf registration) Ad Space in our Program ___ $75. - 1/8 page Ad Space in our Program ___ $125. - 1/4page Ad Space in our Program ___ $225. - 1/2page Ad Space in our Program ___ $400. - Full page Have your flyer inserted in our program packet ___ $50. Place Your Flyers on our info Table ___ $25. Web Page Ad ___ $5./mo. None
PAYMENT OPTIONS: I am sending a check now Please invoice me Visa/MC via Paypal
Please make checks payable to AIM and mail to: 125 Prospect, Phoenixville, PA 19460 USA.
Comments and Questions:
Hotels: The Sheraton Frazer 1-800-325-3535 & the Hampton Inn, Frazer, PA 800-426-7866
