Individual Registration:
Name: __________________________________
Address: ________________________________
_____________________Phone No:
__________
Full
Seminar ($175) _______
$25 Early Registration Discount (by 8/15) _______
Ethics
only ($75) _______
Total: _______
Organization Registration ($995)
Organization: _____________________________
________________________________________
Address: ________________________________
_____________________Phone No:
__________
Names (up to ten):
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
Mail or fax registration to Law Project for
Psychiatric Rights
406 G Street, Suite 206, Anchorage, Alaska 99501.
(907) 274-9493
For more
information call 274-7686.