PAYMENTS:

Hotel          Doubletree Hotel at Reid Park

445 S. Alvernon Way

                        Tuscon, AZ 85711-4198

                        Call: Tara Lundgren, Ph: (520)323-5270, Fax: (520) 323-5223

                        E-mail: tlundgren@dtreidpark.com

Hotel Room Rate:  $58.00 + Tax (single/double room with 2 double beds)

Reservations MUST be made by Saturday, October 4th to receive the $58 rate.  Reservations after that date will only be made on a space available basis and may not be available at the $58 rate.  Each individual is responsible for travel and lodging expenses.

Registration   TAPS:

You may pay the registration fees using a credit card (Visa, Mastercard, and American Express) or you may mail a check/money order (made out to IWP-NOW Legal Defense).

If paying by credit card, please fax the attached registration form, by September 19, 2003 (for early registration) and October 24, 2003 (for late registration), to the attention of: 

Patricia White- TAPS Coordinator

Fax: (512) 407-9022

If paying by check, in addition to faxing the registration form, your check MUST be mailed to and RECEIVED by the following dates,  September 19, 2003 (early registration) and October 24, 2003 (late registration), to the attention of:    

Patricia White

National Center on Domestic and Sexual Violence

7800 Shoal Creek Blvd.,

Suite 120-N

Austin, TX 78757

No checks will be accepted after October 24, 2003.  Payments NOT received by October 24, 2003 will be charged the $25 on site penalty.    Those wishing to attend the conference who miss the October 24^th deadline will need to pay for the conference fees and the $25 surcharge at the conference registration desk.  We ask that if you know you will be attending and will be registering on site that you fax a copy of your registration from before October 30, 2003 to Patricia White at (512)407-9022.  This will help us expedite your registration and help ensure we can have materials available for you at the conference.

If you are registering for multiple attendees, please make sure to attach a list of the specific attendees from your organization to your registration form and if paying by check, your check.  If you fail to do so, processing of your registration will be delayed and if we are oversubscribed your slot may be given to someone else.

*Your registration fees are to cover the cost of training materials, manuals on CD Rom, the rental of the site, AV expenses, a continental breakfast each day, food for breaks each day, and a banquet dinner on Wednesday evening November 5, 2003.

Any questions, contact Patricia White at (512) 407-9020 x. 114

ATTENTION:  Patricia White

Fax #:  (512) 407- 9022

Phone #:  (512) 407-9020 x. 114

REGISTRATION FORM AND FEES

(Please print legibly or type all your information below).

Name:____________________________________Title:_________________________________________

Organization/Firm/Agency_________________________________________________________________

City________________________________  State____________  Zipcode___________________________

E-mail address___________________________________________________________________________

Phone #:  (     )________________________  Fax #:  (     )_________________________

Years of Experience___________

Topics I am most interested in learning about:_________________________________________________

_______________________________________________________________________________________

Will you need a language interpreter for the meeting? Yes   or  no?

If yes, what language do you speak?_________________ (Please note that an Interpreter is not guaranteed).

Will you be requesting CLE or CEU credits?(Please Circle One)            Yes               or            No

If yes, for which state?__________________________

For which type of credit?  (Please Circle One)                            CLE               or                 CEU

For which profession?__________________________   

(If you are requesting CLE or CEU credits, we must receive your registration form no later than October 3, 3003)

Please circle/check all that apply:

Pre-Conference and OVW Training November 4^th Training:

YES, I AM AN OVW GRANTEE PLANNING TO ATTEND THE OVW GRANTEE TRAINING, November 4 through November 5 2003 at noon, Cost is free

YES, I AM PLANNING TO ATTEND THE BASIC OR ADVANCED (circle one) IMMIGRATION 1 DAY TRAINING on November 4, 2003.

Costs are Based on (please circle/check one)

q   Pre-Conference Training with CLE/CEU credit:                                       $100

q   Pre-Conference Training without CLE/CEU credit:                                  $50

Network Conference Nov. 5- 7:

YES, I AM PLANNING TO ATTEND THE NETWORK CONFERENCE , NOVEMBER 5-7.

            Costs are Based on: (please circle/check)                                                                                                                                                                  

            (Early Reg.)                        (Late Reg.)                              By September 19                        By October 24

q Private Attorneys & Other Professionals seeking CLEs

    Or  CEUs                                                                                                    $225                                      $300

q Non-Profit Attorneys  & Advocates                                                          $175                                      $225

q  Non-Profit Attorneys seeking CLEs or CEUs                           $25                                        $25

Add $  25       

q Grassroots groups and survivors                                                              $75                                      $125

q               ON-SITE SURCHARGE APPLIES                                                                                                   $25      

q               Payment by credit card included

q               Payment by check mailed                                                                       

TOTAL AMOUNT DUE:                                                                          $_______________

***************************************************************************************

CREDIT CARD REGISTRATION PAYMENT FORM

Please check one:     ______Visa          ______Mastercard         ______American Express

Name as it appears on card:  ___________________________________________________

Card Number:  ________________________________________  Exp. Date: ____/____

Billing Address: ___________________________________________________________

Phone Number:  __________________________________________________________

Signature: _______________________________________________________________