REGISTRATION FORM BELOW:    Please print out and fax to Heddy at (916) 428-3128 or call (916) 447-NAJA   

  

 
 
REGISTRATION FORM
 
 
Name______________________________     Title________________________________
 
Approving Manager________________________Title_______________________________
 
Organization

 ___________________________________________________________________
 
Address _______________________________________________________________________
 
City, State, Zip Code ____________________________________________________________
 
Phone _________________  Fax _________________

Email ____________________________
 
Registration Fees:   Payment Received by      Paid After 3/1/09     
                                       3/1/09
 
                     One Day         $329.00                      $379.00
 
                     Two Days       $399.00                       $449.00
 
                     Three Days     $499.00                       $549.00
 
                     Four Days      $580.00                       $630.00
 
                     Five Days      $629.00                          $679.00
 
Check the days you plan to attend: !"!M    !"!T    !"!W   !"!Th   !"!F


Method of Payment:                                                                                                    

_____ Check enclosed payable to NAJA
              mail to:   NAJA attn:  Heddy Kung | P.O. Box 221392 | Sacramento, CA | 95831

_____ Purchase order #______________________, copy attached
              email to:  HeddyNAJA@aol.com
              vm & fax to:  (800) 747-NAJA  or  (916)447-6252 & alternate fax: (916) 428-3128
              mail to:   NAJA attn:  Heddy Kung | P.O. Box 221392 | Sacramento, CA | 95831 



             *******************************************
              Full  payment must be received by NAJA for admittance.
             *******************************************
Signature


______________________________________________   Date:__________________

 NAJA
Cancellations:
Substitute registrants are welcome and may be named at any time. If you cancel six or more business days in advance, you will receive a full refund less a $50.00 service charge. If you cancel within five business days you are not entitled to a cash refund.

For more information regarding NAJA administrative policies or to make suggestions, please contact our offices at (916) 447-6252, ask for Heddy.


This workshop/conference may be recorded. Your registration constitutes your consent to such recording.

Submit registration via email to HeddyNAJA@aol.com or mail to:
NAJA attn:  Heddy Kung | P.O. Box 221392 | Sacramento, CA | 95831
website:  www.NAJAorg.info

To ensure that all our mailings get to you safely, we recommend you add HeddyNAJA@aol.com to your contact list in your email client.