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Online Registration for CHDV Event and HICE Event
February 22-24, 2006
at Hilton San Diego Resort


Please complete the following form and return. If you do not want to make purchases online,
please contact us at 626/744-5600. Thank you!

Registration Fee (includes all meals, events, materials, and proceedings CD)







Non-participants
Early Registration (on or before January 13, 2006) - $550
Late Registration (after January 13, 2006) - $600
On-site registration (February 22-24) - $650

WestStart Participants, Non-Profit Organizations,
and Government Employees
Early Registration (by January 13, 2006) - $450
Late Registration (after January 13, 2006) - $550
On-site registration (February 22-24) - $600

Speaker Fee- $150 (includes meals and events)
Spouses - $150 (includes meals and events)
Exhibit Booth Workers - $200 (includes meals and events)

To learn more about CHDV click here



Registration Fee for HICE Symposium $125
Registration Fee for HICE Speaker $50

Special Discount Rate of $50 for HICE if attending CHDV.
Note: CHDV fee still applies

To learn more about HICE click here

For participant information visit our web site at www.weststart.org

Required fields are marked with a*


I am a HICE Speaker and will ONLY be attending HICE please charge me $50
*First Name:
*Last Name:

*Title:
*Company/Organization:
*Street Address:
*City:
*State:
*Zip Code:
 -
*Phone Number:
 - -
Fax Number:
 - -
*E-mail:


I am an:

Will you be attending the Welcoming Reception on Wednesday evening?

Will you be attending the Reception on Thursday evening?

Method of Payment
Check
Credit Card

Payment Information
How would you like to pay? Choose one of the following:

Visa.
MasterCard.
American Express.
Check (to be mailed).

Please make checks payable to WestStart–CALSTART and mail with your application to:
Weststart- CALSTART, Att: CHDV 48 South Chester Ave., Pasadena, CA 91106, or fill out the credit card information below.

*Name on Credit card:

*Credit card number:

*Expiration Date: (MMYY)

*Billing Address:

Cancellation Policy
All cancellations must be submitted in writing by February 3, 2006 and are subject to a $50 handling fee. No exceptions. We regret we cannot process cancellations after that date. Allow 4-6 weeks for refunds. Not appearing at the conference is cancellation by default and no refunds will be allowed. No exceptions. For questions, please call 626/744-5600.

For more information on WestStart – CALSTART’s other Services/Programs,
please contact (626) 744-5600; Fax: (626) 744-5610 ; email calstart@calstart.org.

 
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