2013 Intertribal Circle of Caring and Sharing Conference

Name: First, Last (required)

Email (required)

Title/Position (required)

Tribe/Organization (required)

Mailing Address: City, State, Zipcode (required)

Business Telephone Number (required)

Business Fax Number

Early Registration Fees is $125.00 and must be postmarked by June 1, 2013.
Regular and on-site Registration is $150.00 and must be postmarked after June 1, 2013 and on-site.

Please make payment(s) payable to: Inter Tribal Council of Arizona, Inc.
Inter Tribal Council of Arizona accepts check, purchase order, and money orders.
Mail payment(s) and registration form(s) to:

Inter Tribal Council of Arizona, Inc.
Attn: Early Childhood Conference
2214 North Central Avenue, Suite 100
Phoenix, Arizona 85004

Refunds, less a $50 administration fee, will be made if a written cancellation notice is postmarked or faxed by June 3, 2013. There will be no refunds for cancellations after June 3, 2013. For cancellations after June 3, 2013 or "No shows" payment is still due and payable in full to cover th ecost of meals and conference materials purchased based on teh registration received by you or your agency. If you are registered but are unable to attend, someone else may attend in your place.

Please Note: Photographs taken by ITCA staff at training events may be used in ITCA publications including, but not limited to ITCA’s website, publications and social media. If you do not consent to have your photograph published, please notify ITCA staff at the training class.

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