Ninth Annual Conference on Addiction & Criminal Behavior
September 28 -October 1, 2008
St. Louis, Missouri
Printable Registration Form
Click here for Online Registration
Early Bird Discount
Before August 1, 2008: $375 or $350 each for 5 or more
After August 1, 2008: $400 or $375 each for 5 or more

Single Day Registration        Must Select Day

 Sunday           $150              
Monday          $175              
Tuesday         $150              
Wednesday   $150              
                

Cancellation/Refund Policy
1.  Notice of cancellation must be submitted in writing.

2.  Cancellations received by August 30, 2007 will be subject to a $75 cancellation charge.

3.  No refunds will be made after August 30th. Registrants who do not attend the conference and do not notify GWC are responsible for full payment.

4.  Registrations are transferable.

______________________________________________________________________________________
Name (please print)                                                   Title

____________________________________________________________________________________________________
Company

____________________________________________________________________________________________________
Mailing Address City/State/Zip

(_______)________________________________________(________)____________________________________
Daytime Telephone                                                                   Fax #
                                                                                                 
______________________________________________
E-mail Address
Registration Fees Include:
  Workshop instruction, conference notebook, handouts, eye-opener continental breakfast, “Meet & Greet Ice Cream Social”, “Network Luncheon” and CEU’s from NAADAC, APPA, IAODAPCA, MSACCB, NBCC and NASW.
_____American Psychological Association (APA) CEU's are provided through Southwest Missouri State University's Center for Continuing and Professional Education - $22.00 processing fee due with registration.       State License Number_______________________
Payment Type:
___Check enclosed, made payable to GWC, Inc. for the amount of $ ________________
___Or please charge my: ___MasterCard    ___Visa     ___American Express
        Card # ___________________________________Expiration Date ________________
        Cardholder Name __________________________Signature____________________________
                                                  Please Print or Type
___Or invoice me, using PO # ____________A copy of Purchase Order must be included with registration.
___Electronic Funds Transfer ( requires GWC Customer number and invoice number  GWCTN Tax ID No.: 37-1399629)
Hotel
Accommodations
 A block of rooms with a special rate of $117 single/double occupancy have been reserved at the Hyatt Regency St. Louis Riverfront, Fourth & Chestnut, St. Louis, Missouri.  Rooms are available on a first come, first serve basis.  These rates are effective until September 5, 2008.  Register: Call the Hyatt Regency St. Louis Riverfront direct at 1-800-233-1234 for reservations.  Tell them you are registering for the National Conference on Addiction.

Fax This Form to (618) 337-7880 or Mail it to: GWC Inc., PO Box 5023, Cahokia, Illinois 62206.
Call GWC at 800-851-5406 for any questions you may have.