To register online:  click the corresponding Buy Now button below
& then complete the online registration form (below) and click submit.
2 Day Conference Registration $149

2 Day Conference Registration with Lunch Option $179

Thursday Conference Registration (1 day) $99

Friday Conference Registration (1 day) $99

Thursday Conference Registration (1 day) with Lunch Option $114

Friday Conference Registration (1 day) with Lunch Option $114
contact us
                MAIL-IN REGISTRATION FORM
25th Upper Midwest Conference on Adolescents & Children In Need

Name_____________________________________________________________________________

Agency___________________________________________________phone____________________

Address___________________________________________________________________________

City___________________________State_______Zip____________email______________________
                          mark your choice:
            Both Days  ___$149      Both Days w/Lunch____$179

                  Thursday____$99         Thursday w/Lunch____$114

                   Friday____$99               Friday w/Lunch____$114     Special diet:__________________

(make checks payable to CE&D)      Method of Payment:  _____Check   _____Purchase Order             
                     
ONLINE REGISTRATION FORM: submit this to us along with using BUY NOW above.
Your name:
Your organization:
Your address:
City, State & Zip Code:
Your email address:
Your phone number:
If you chose the lunch option and have any diet restrictions indicate them below:
To register by mail: print the form below and mail along with payment or purchase order to address below.
Mail Registration Form
and Payment to :   
CE&D
615  8th Ave NE  
Pine City, MN  55063
SPECIAL RATES FOR GROUPS OF 4 or more:
2 day registration is $119/person
2 day with lunch is $149/person
1 day registration is $89/person
1 day with lunch is $104/person
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