.

ICSA Denver Conference

Psychological Manipulation, Cultic Groups, and Other Alternative Movements

June 22-24, 2006

Sheraton Denver West, Lakewood, Colorado

 

Registration Form: Fax or Mail

 

Fax: 732-352-6818;  Mail: ICSA, P.O. Box 2265, Bonita Springs, FL 34133 (USA)

Registration Form

Enter below the number of people and appropriate amounts for registration fees and meals (reserve sleeping rooms here). All fees are per person.  Full-time students may take the indicated discount (include photocopy of student ID with registration). Please pay in U.S. dollars drawn on a U.S. bank, with an international money order in U.S. dollars, or Visa or MasterCard. Your contributions will help ex-members/students needing financial assistance to attend.  See discount columns for early registration fees. Don't forget credit card information at the bottom. Fax, mail, or e-mail this form to International Cultic Studies Association (ICSA), P.O. Box 2265, Bonita Springs, FL 34133 (fax: 732-352-6818; e-mail: mail@icsamail.org). Conference programs begin promptly at 9:00 A.M. for Friday and Saturday, 10:00 A.M. for Thursday workshops.  Evenings are free for socializing or optional programs. Arrive at least 30 minutes early for registration.  Full refund up to 30 days prior to conference; partial refund thereafter (contact ICSA). The conference program is subject to change.

 

No. People

Item

Register by Mar. 1, 2006

Register by April 15, 2006

Register After April 15, 2006

Calculate Amount Due

 

Thursday family workshop (10-5:30)

$50

$65

$80

$

 

Thursday ex-member workshop (10-5:30)

$40

$55

$70

$

 

Thursday born or raised session (7:30 – 9:00)

Free to registrants. Born or raised only.

$

 

Thursday mental health workshop (7:30 – 9:00)

Free to registrants and M.H. professionals.

$

 

Registration Friday and Saturday

$140

$180

$200

$

 

One-Day Registration.  Check Day:               Fr. [    ]      Sat. [     ]

$80

$100

$110

$

 

Full-Time Student Rate  Check Day(s):  Th. Family [    ]   Th. Ex [     ]  Fr. [    ]      Sat. [     ]

$25 per day

$

Meal Options.

Thursday

Friday

Saturday

 

 

Breakfast ($13 each) :

$

$

$

$

 

Lunch ($13 each)

$

* $

* $

$

 

Dinner ($23 each)

$

* $

* $

$

* Indicates there will be a dinner or luncheon speaker

Contribution

$

Total Amount

$

Payment Method: _____Check (U.S. Funds drawn on U.S. bank or money order)   ___Visa   ___ MasterCard

Number:                                                                                                           Exp. Date:

Name:

Address:

Address (Cont.):

City/State/Zip/Country:

Phone(s)/Fax:

E-Mail (Important!):

$

 

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