Conference Registration Form Registration Information: Name: Mailing Address: City: State: Zip: Phone: Fax: E-mail: Special Needs: If you need any of these special accomodations, call the WAAODA office (800.787.9979) at least three weeks prior to the Conference date: Sign language interpreter (ASL or Signed English) Braille, taped, large print, audio loop materials Child care Other accommodations Vegetarian meals Fees: Check all that apply Individual WAAODA members – $320 (for all 3 days!) Annual membership – $25 Non-member – $350 (for all 3 days!) One day only (regular) – $120 One day only (student/retired) – $80 CME – $35 CEU – $30 Drum-making workshop (without materials) – $120 Drum-making workshop (with materials) – $135 Exhibitor – $400 (includes registration for one) Group discount (5 or more) – Save 20% on total Tax deductible donation to WAAODA: Total: * your total for registration is based on items that you select under fees