NATIONAL ASSOCIATION FOR RIGHTS PROTECTION AND ADVOCACY

Reclaiming Freedom:
A CALL TO ACTION
       

2005 ANNUAL RIGHTS CONFERENCE    

November 17-20, 2005
Hartford, Connecticut

REGISTRATION FORM

Type or print legibly. List name and contact information, as you want it to appear in the conference packet.  Mail completed registration form to: NARPA 2005 Conference, P.O. Box 40585, Tuscaloosa, AL 35404

Name:_______________________________________________________________________

Organization: _________________________________________________________________ 

Address: _____________________________________________________________________

                ____________________________________________________________________

 Phone: ________________________________________

E-mail: _________________________________________

Accommodation Request:

Diet ____________________________   Sign Language Interpreter _____________________

Accessible Accommodations ___________________  Service Animals ___________________

Other _____________________________________________________________________________

MUST BE RECEIVED BY NOVEMBER 12, 2005.

Walk-in registrations welcome (subject to space availability)

Please be considerate of chemically sensitive individuals.  We ask that you smoke only in designated areas and wear non-perfumed items.

REGISTRATION

Registration includes a one-year NARPA membership for non-members; Thursday Reception, 3 Continental Breakfasts, 2 Lunches, and all breaks.  Fee does not include room.  Make reservations directly with the Sheraton Hartford Hotel.

Registration (On-Site):
      
$400 $______
Day Attendees:        $65 per day Thursday & Sunday $______
    (½ day programs)
   $125 per day Friday & Saturday  $______
Contribution to Scholarship Fund        

(NARPA is a 501(c)(3)
      tax-deductible org.)     

$______
TOTAL ENCLOSED: $______

U.S. MAIL, FAX, AND ON-LINE REGISTRATIONS MUST BE RECEIVED BY NOV. 12, 2005.

  

PAYMENT OPTIONS:

CHECK OR MONEY ORDER (U.S. Currency only.)

Make payable to NARPA – National Association for Rights Protection and Advocacy, Inc.

  CREDIT CARD (Circle one):       MasterCard        VISA         American Express

Card #_______________________________________ Exp. Date_________

Cardholder Name _______________________________________________

Signature ______________________________________________________ 

Furnish all information.  If paying with MasterCard or VISA, you must also include the

3-digit security code from the back of your card: _____________

NOTE: If you are registering more than one individual, please attach additional names and information on separate sheets.

REFUND POLICY: Conference Registration cancellations must be received in writing.  Cancellations made before Oct. 17, 2005 will be fully refunded minus a $50.00 administrative processing fee per person. Registrations will not be refunded after Oct. 17, including conference no-shows.

CONTINUING EDUCATION CREDITS will be available for selected workshops for Attorneys.  CEUs are being developed for other disciplines (Nurses, Social Workers).  Check www.narpa.org for additional information.

The Sheraton Hartford Hotel

100 East River Drive - East Hartford, CT 06108
Rates (not incl. tax):  Single $93;  Double $103;  Triple $113;  Quad $123  
(860) 528-9703 or Toll Free (800) 325-3535

Reservations must be made by November 16, 2005 to receive the NARPA Conference Rate.
Available rooms will be released to the general public after that date. 

The Sheraton Hartford Hotel is easily accessible from Interstates 91 and 84, the hotel is located directly off Interstate 84, only 12 miles from Bradley International Airport:

·         215 beautifully appointed guestrooms with coffee makers, hairdryers, irons and ironing boards, alarm clock radios, 27” color televisions with pay per view movies and Nintendo games data ports, two telephone lines with wireless high speed internet access.

·         Full service restaurant and lounge-Room service available for breakfast, lunch, and dinner.  Guests can enjoy fine dining at Armstrong's, or relax with a drink in the Jazz Lounge.

·         Indoor heated swimming pool and full exercise facility.

·         Gift shop and business center.

·         Free parking

·         Complimentary van service to local businesses in a 10-mile radius.

·         FREE SHUTTLE to and from the Airport for the NARPA Conference.  Hotel Shuttles rotate Airport Pickup’s every 45 minutes.  Call the Sheraton Hartford for scheduling.

·         Express check in and check out services.

The Conference begins with check-in registration at 4 PM and the first plenary at 6 PM followed by a reception on November 17.  
The Conference ends at Noon on Sunday, Nov. 20.


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