PHILADELPHIA CONFERENCE-2007 REGISTRATION FORM
A unique collaboration between Arizona Fathers & Families Coalition, Inc., and the Philadelphia Fatherhood Practitioner Network. AZFFC has been asked by Philadelphia Practitioners to bring our premier fatherhood & families’ conference to Philadelphia! We are excited about this national collaboration as AZFFC along with other nationally recognized fatherhood networks have established a new national network, ”National Network of Fathers & Family Services” headquartered in Phoenix and in Virginia, Boston, Bay Area, New York and DC. This conference is a true collaboration of the premier consultants on Responsible Fatherhood, Mentoring Children of the Incarcerated, Developing Promising Practices, Fathering Behind Bars and on the Street, culturally Competent Practices and Healthy Marriages.
Hosted by Arizona Fathers & Families Coalition, Inc. with assistance from Philadelphia Fatherhood Practitioner Network Join Us September 24-26, 2007 in Philadelphia, PA
HOST HOTEL INFORMATION: The online group site for the Philadelphia Fatherhood Conference is live and ready to book online for anyone staying at the Doubletree Hotel which has extended the conference rate through September 7, 2007. Click here for this hotel link. Please let us know if there is anything we can do to assist any of your travel arrangements.
Please register me for the Philadelphia Fatherhood & Families Conference ”Unifying Families and Communities"
*Name:
Title/Position:
*Address:
*City:
*State:
*Zip Code:
*Phone Number:
Fax Number:
*Email:
Website:
I am enclosing payment of the conference registration fee: (please check one)
$200.00 early bird regular before August 22 2007
$275.00 regular after August 22 2007 – 31 August 2007
$300.00 after 31 August per person
$200.00 each for Exhibitors (3days) before 2 July 2007
$275.00 each for Exhibitors (3days)after 2 July – 21 August
$150 for Exhibitors with Resource Information Only 500 pieces of material a day after until 21 August 2007
$300 for Exhibitors after 21 August 2007
$200.00 One Day Registration after 20 July 2007 – 21 August 2007
$50.00 For the Tuesday Dinner Gala: For attendees ($65.00 for non-attendees) who want to participate with the evening keynote & live entertainment –Father of the Year Awards as a fundraising event. At-the-door pricing is $65.00 & $85.00 respectively. Do not miss out on the early registration as annually many colleagues pay at-the-door.
Check here for Arizona Fathers and Families Coalition, Inc. Membership we will reply by email your request and provide a possible 15% discount to this year's event.
All paid Arizona Fathers & Families memberships will receive a 15% discount, quarterly In Search of Fatherhood International Journal with paid membership fee and conference registration. *Method of Payment: Visa MasterCard Discover American Express
*Card Number:
*Expiration Date:
*Name as it appears on card:
Cancellations
Cancellations must be submitted in writing and received at least fifteen (15) days prior to the conference. A $100.00 enrollment charge will apply to all cancellation requests to cover hotel and catering costs. AZFFC will send an invoice for all cancellations after the deadline. No refunds will be made for cancellations received less than fifteen (15) days prior to the conference and by submitting this registration form all unpaid fees regardless of attendance will be invoiced at the post 21 September 2007 rate if unpaid after 8 October 2007 . Purchase Orders ( PO ) will not be accepted without written payment arrangements with: James Rodríguez, M.S.W., CEO & President, 39 E. Jackson Street #143 Phoenix , AZ 85004 Toll Free 800-603-9309 or 602-495-8845. All PO must be paid within 15 days after the conference. Register Online at www.azffc.org Fax Registration to 602-252-3598 Mail payment payable to : Arizona Fathers & Families Coalition RE: Philadelphia Fatherhood & Families Conference, 2007 along with this form to Arizona Fathers & Families Coalition, Inc. - P.O. Box 8267 - Phoenix , Arizona 85066-8267
Copyright © 2007 Fathers and Families Coalition, Inc.
