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