DBSA 2013 National Conference Registration

 

Thank you for your interest in the DBSA 2013 National Conference: Stronger Together being held this coming June 14-16, 2013 in Miami, Florida! To register for the conference, you must complete the form below and, at the end, click the button labeled "CONTINUE TO REGISTRATION" to enter the Google Checkout ticketing system and complete your purchase.

 

*Denotes required fields

 

1. Name of Attendee

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IF you are a DBSA Chapter/Support Group participant, the following information is required. Otherwise you may skip questions 9-11.

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If you are the only participant, you may skip to the bottom of this page and click "CONTINUTE TO REGISTRATION."

 

If you are registering multiple individuals within the same order, their contact information is required. Otherwise, you may skip questions 12-21.

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NOTES:

**Individuals MUST indicate on this form any special accessibility or accommodation needs they require so that DBSA can provide the appropriate resources. We request that individuals provide a minimum of one month’s notice (May 14, 2013) so that we can ensure that resources are available and that they can be secured at a reasonable rate.

You will NOT receive a confirmation letter or tickets in the mail. The e-mail confirmation you receive from Google Checkout serves as the ONLY confirmation of your registration for the DBSA 2013 National Conference. PLEASE KEEP A COPY FOR YOUR RECORDS.

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