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Lift Disability Network (CCPD)
2006 Leadership Conference

November 3rd, 4th & 5th
Orlando Wyndham Resort
Orlando, Floirda

Click Here for the Exhibitor / Sponsor Forms
 

 

Organization:
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone:
Email Address:
Accomodations:
Orlando Wyndham Resort
($99 per night)

*Rate is good for three days before the conference and up to three days after the conference.

Number of Nights:

Arrival:
Departure:
Hotel is NOT included in the registration fee
Type of Room:
King Bed     Double Beds
Handicapped access required:
Smoking Preference:
The Group rates shall apply to Group guests three (3) days prior to and subsequent to Group's event subject to Hotel availability.
Attendees: Number of persons attending:
Names:
#1
#2
#3
#4
Special Dietary Needs Please tell us about any dietary restrictions you may have:

PAYMENT INFORMATION
$99 Registration Fee ($124 after Sept 29th) Includes Reception Friday Night, Breakfast Saturday Morning, Saturday Lunch and Guest Speaker on Friday & Saturday Nights

Card Type:
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