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REGISTRATION FORM
(Please check all applicable events)

o Beyond-Einstein Training, Thursday-Friday, May 24-25, 2012—$295
o Double Festival 2010 Conference, Fri./Sat./Sun., May 25-27, 2012—$495
o Beyond-Einstein plus Double Festival, May 24-27, 2012—$590 (save $200)
o Trainer Training, May 28-30, 2012—$100 a day
o All 3 events together ($1090 value) — $795 before April 15, 2012 (save $295)
o Students, Teachers, first two events together —deduct an additional $75
o Family Plan—accompanying spouses and responsible family members, half price
o Alumni discount for previous attendees—an additional 15% off any event
o Military discount for veterans — 10% off any event
o Early Registration Discount, by April 15, 2012—an additional 10% off any event

Name_____________________________________________________________

Phone _________________________________

Email/URL_________________________________________________________

Address___________________________________________________________

City___________________________________State______ ZIP______________

Your field or profession____________________________________________

o Check/money order payable to Project Renaissance (in U.S. dollars), or:

o Mastercard/Visa number_______________________________

Exp. date_____________ #Amount___________________

Signature________________________________Date_____________________

Optional: — Do you have special needs for which you would like accommodations provided at the Festival, and/or what would you like for us to know about you? (Use back of sheet if more space is needed.)
#
Print out, fill out and mail with payment to:
Project Renaissance, P.O. Box 332, Gaithersburg, MD 20884-0332


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