Registration Form for 2017 IAAMB/ACWT Regional Conference - International Association of Animal Massage & Bodywork / Association of Canine Water Therapy

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Member Fee (Per Person)
Price: $150.00 Quantity:
Non-Member Fee (Per Person)
Price: $200.00 Quantity:
Advertise in Program: Full Page (8" x 5")
Price: $100.00 Quantity:
Advertise in Program: Business Card (2" x 3.5")
Price: $50.00 Quantity:
File
If you choose to pay to advertise in the program, you can upload a file here or email us at info@iaamb.org. The deadline for advertising submissions is May 8th, 2017. No refunds missing this deadlines.
Total
$0.00
Cancellation / Refund Policy*
- I understand that to get a refund, I must cancel more than 2 weeks in advance to receive a refund, which will have a $25 process fee subtracted from the initial paid amount.
- I also understand if I do need to cancel for any reason, I need to contact IAAMB/ACWT by calling 1-800-903-9350.
Please check the above to confirm you have read and understand these terms.
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name