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NFP Conference Registration Form
Fibromyalgia: Facing The Future
May 3-5, 2002
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Instructions: To register for the conference, print this page and fill out the form at the bottom and mail to: NFP, Inc., 140 Zinn Way, Linden, VA 22642-5609, or fax to: 540/622-2998 (please print clearly). To reserve a hotel room, fill out the Orlando Airport Marriott Reservation Request also included on this website. Please send that to the hotel at the address indicated, not to the NFP office.
Registration by March 1, 2002
$120.00 NFP Member
$145.00 Non-Member
Registration March 2-April 30, 2002
$135.00 NFP Member
$160.00 Non-Member
At-The-Door
$150.00 NFP Member
$175.00 Non-Member
*Non-member registration price includes a one-year membership in the National Fibromyalgia Partnership (NFP). All registrants will receive a complimentary information packet, luncheon on Saturday, breakfast on Sunday, and refreshments during breaks. Cancellation policy: Refunds will be issued for cancellations received in writing by April 15, 2002. All cancellations are subject to a $25.00 administrative charge. Questions about registration? Phone: 866/725-4404 (toll-free).
PLEASE PRINT CLEARLY
Name: _______________________________________________________
Organization (if applicable): __________________________________
Address: ____________________________________________________
City/State/Zip: _______________________________________________
Daytime Phone: ___________________# Registrations Requested: ____
Name of Registrants: _________________________________________
Type of Registration: ____NFP Member ___Non-Member
Registration Amount: $____________
Payment Information:
___Check/money order enclosed payable to “NFP, Inc.”
Charge my: __ Visa __ Mastercard
Acct# __________________________________ Exp Date____________
Cardholder Name: ____________________________________________
Signature: __________________________________________________
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