Registration form for Sept 6, 7, 8, 2019 Symposium for Integrative Health, Tai Chi, Qigong
<--- This is the preferred name of the person being registered, which may be a duplicate of the first name below. Please enter both.
If you are filling out this form for someone else who's name is above, please enter your name here:
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Symposium Registration Options
Saturday Evening Banquet
The Saturday evening banquet is included in the 3 day registration. Please let us know if you will be attending.
Onsite Lodging at Maris Stella (shared rooms)
Sorry - Onsite Lodging is full
Please check here to indicate that you have read and agree to the waiver.
Email me an invoice
Pay online (with credit card/debit/Paypal acct)
If you are having problems with the form, or if it is not calculating the promocode correctly, call CJ Rhoads at 610-468-5039 or Deb Mertrud at 973-222-8945.