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2003
Conference Registration Form
Register by March 31 and save
$60 off full conference fee!
Please print
and fax this form to: 858-679-2916 and to guarantee your spot
also mail to: STOPDV, Inc., P.O. Box 1410, Poway, CA
92074-1410. For more info, call 858-679-2913
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Personal Information
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Name (Please Print or Type Legibly):
_________________________________________________
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Position
/ Field (Please check only one):
___Victim advocate
___Victim witness
___Forensic nurse
___Physician
___Other medical
___Law enforcement
___Prosecutor
___Criminalist
___University/Campus Program
___Military
___Researcher
___Other (please specify)____________________________
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Organization:______________________________________
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Address:
_________________________________________ |
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City:
______________State: ________ZIP:______________
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Day
Phone ( )____________Fax:
( )_______________
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Email:____________________________________________
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Special
Needs (Wheelchair accessibility, Child Care, Other - please be
specific): _________________________________________________
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Areas
of Interest (check all that apply):
___Sexual assault
___Domestic violence
___Stalking
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Fees
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Register early and save! Only
registrations sent with payments qualify for
special rates. You may use a P.O. to register however
actual payment must be received by the appropriate cut off date to
qualify for the early rate. Submit your paperwork early so
that you can take advantage of this offer. If your agency will
not pay until after you have attended the conference, you will not
qualify for the early rate.
No exceptions can be made. No refunds will be given after
March 23, 2003.
For groups of 5 of more, the 5th registration
is FREE.
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$469.00 if registration is received by March 31, 2003
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$529.00 if registration is received AFTER March 31, 2003 |
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Student rate of $250.00. Must present student ID at conference
check-in! |
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I cannot attend, but would like to order the 2003 Conference Manual for
$100
___ I would like to order the 2002 Conference Manual for $50
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Fees Include:
- 3 days of training with
fantastic speakers and trainers
- 3 continental breakfasts -
3 lunches - coffee breaks
- Full set of course
materials
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Method of Payment |
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Check - Please make check payable to STOPDV, Inc.
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Money Order ___ Purchase
Order
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Credit Card: ___
Visa
___MasterCard
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Credit Card Number: ____________________________
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Exp. Date: ____________________________________
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Cardholder Name: ______________________________
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Cardholder Billing Address/ZIP: ___________________
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______________________________________________
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Signature:
____________________________________
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Hotel Reservations
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Make your reservations directly with the Holiday Inn at
1-800-877-8920 or 619-232-3861. When making reservations, make
sure to ask for the National Domestic Violence, Sexual Assault
& Stalking Conference/STOPDV, Inc. special group rate of
$149.00 (single or double). These special rates will be in
effect 2 days after the conference. Make sure that you request the group
rate. The first 425 reservations at the “Conference Hotel” will
get this rate, so make your reservations early.
The Holiday Inn on the Bay provides free shuttle service to a
number of local attractions. The San Diego Metro Trolley service
is close by.
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If the Holiday Inn is sold out, we
have 30 rooms reserved at the
Best Western
Bayside Inn, 555 W. Ash Street, San Diego, 3 blocks from the
conference hotel. Call (619) 233-7500 to make your reservation.
The rate is $119.00 city side and $129.00 bay side. The rate
includes a continental breakfast, covered parking, in room
microwaves, and refrigerators, private balconies, and airport
transportation. The hotel fax number is: 619-238-0844.
Information about additional area hotels follows:
The address of the Holiday Inn is 1355 N. Harbor. Harbor runs
parallel to Pacific Highway, so 1500 Pacific Highway would be
two blocks from the conference Hotel. The listed rates are just
to give you an idea of the prices and are not guaranteed nor is
the fact that it is listed a recommendation for the quality of
the hotel. Some hotels, like the Pacific Inn Hotel will allow
you to bid on their web site. Others offer a limited number of
government rates or other discounts with AAA or other
memberships.
Additional Hotels in Downtown San Diego:
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Pacific Inn Hotel & Suites, 1615 Pacific Highway (619)
232-6391, $69.95 plus tax
- Villager Inn, Gaslamp
District, 660 “G” Street (866) 833-9330, $76.00 plus tax
- Harbor View Days Inn,
1919 Pacific Highway, four blocks from the conference hotel
(619) 232-1077, $79.00 plus tax (single)
- Quality Inn Suites
Harborview, 1430 7th Avenue, $109.00, (619) 696-0911
$89.00 plus tax
- Rodeway Inn, 833 Ash
Street, (619) 239-2285, $89.00 single, exactly one mile from
the conference hotel
- Comfort Inn at the Harbor,
5102 N. Harbor Drive, (619) 223-8171 $89.00 plus tax (Not
within walking distance)
- Hampton Inn, 1531
Pacific Highway, $99.95 plus tax (619) 291-8333
- Best Western Bayside,
619-233-7500, with AAA, $119.00 plus tax
- Hilton Gaslamp Quarter,
SD Downtown, 619-231-4040
You can search on
google.com
for more hotels in the downtown area. A good choice is
expedia.com. |
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Recommended Travel Agency
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ABOVE AND BEYOND TRAVEL, for
flight reservations or car rental. Phone: 858-270-2359, ask for
Brad, Kim or Mona or Fax: 858-270-1404
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