CALIFORNIA CARCINOID FIGHTERS SEMINAR 2003
Saturday October 25, 2003
MAIL the completed registration form below with your check or money order
made payable to “California Carcinoid Fighters Seminar 2003” to:
California Carcinoid Fighters, PMB # 231, 17939 Chatsworth Street, Granada Hills, CA 91344-5606 
Registration is limited to the first 250 people who register.
Registration Deadline is October 10, 2003


PLEASE PRINT YOUR INFORMATION BELOW:

Name ________________________________________________________

Address ______________________________________________________

City ____________________________ State _____ Zip _______________

Phone number _________________________________________________

Spouse/Caregiver’s Name ________________________________________

Number attending conference: ________________

E-mail Address: ________________________

Do you wish to include your Email address on registration roster?  Yes____   No____

Will you attend an Informal WELCOME RECEPTION, Friday night (Oct. 24, 2003)
       at the hotel?  Yes__ No __

Confirmation of receipt for registration will be made via mail or e-mail.
Those wishing overnight accommodations must call the Doubletree Hotel 
       1-714-825-3333  or 1-800-222-8733
Mention the "Carcinoid Seminar" for special room rate and request "special needs"
To make reservations at the Doubletree Hotel  CLICK HERE

 For additional information contact Tom May of The Wellness Community-South Bay Cities
1-310-376-3550 extension 22

 Doubletree map location and information  CLICK HERE