RESOLVE of the Bay State



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Peer Discussion Groups

Topic Discussion Groups

Upcoming Programs:

*SAVE THE DATE*
Donor Egg / Surrogacy & Adoption Connect & Learn Seminars

Saturday, January 28, 2012 - 9:00 am - 5:00 pm

New for 2012: Pay once and attend sessions from BOTH Seminars!

NEW PODCAST: The Fertility Forum: How to Survive Child-Centered Holidays, with our own Exec. Dir. Erin Lasker

RESOLVE of New England
Fertility Treatment, Donor Choices,
and Adoption Conference

Saturday, November 5, 2011
Best Western Royal Plaza Hotel
Marlborough, MA
Click here for directions.

REGISTRATION FORM
Please enter your information in the spaces provided, print out the form,
and bring it with you to the conference on Saturday.

STEP 1: Attendee Information
Name:
Name2:
Addl Name:
Address:
City:
State:
Zip:
Phone:
E-mail:
STEP 2: Membership
	If you are not yet a member, join now and save on registration fees:
	$55 - Individual or Household Member
	$150 - Professional Member
STEP 3: Registration - Walk-in rates apply.
Walk-In Registration - Received after Nov. 2, 2011 will be charged an additional $30 to the rate listed. Lunch is not guaranteed for late registrants.
Non- members	$200 – 1 Person			$295 - 2 People
RESOLVE members	$115 – 1 Person			$195 – 2 People
Family & Friends	$70 per person for 3rd person

STEP 4: Continuing Education Credits
7.2 hours for nurses as established by the MA Board of Nursing; 6.5 hours for social workers as established by the National Association of Social Workers.
	Nursing, License #
	Social Work, License # $35 Processing fee

STEP 5: Payment
	Payment Method:
	My check is enclosed, Payable to RESOLVE of New England
	Or charge to my:
	Visa
	MasterCard
	American Express
	Discover Card
Card #
Exp.Date:
Signature:	__________________________________

STEP 6: Workshop Selection
Select only ONE workshop per person for each session. Hint: Make the most of your registration fee. Attend with a partner or friend and register for eight different sessions total!
	Session A	Session B	Session C	Session D
Person 1
Person 2

STEP 7: Please bring this form with you and register on Saturday at the conference location.
TO:	RESOLVE of New England 395 Totten Pond Road, Suite 403 Waltham, MA 02451
OR:	Fax this form with credit card information to 781-890-2249
How did you hear about the conference? Please select the top one or two sources that apply from the following lists:


*Registration fees can be refunded less processing fee with a written cancellation request received by October 29, 2011. No refunds will be given after that date. Financial Assistance is available. Call 781-890-2225 and leave a message or email our office for details.
** Lunch is not guaranteed with walk-in registration

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with the word "Subscribe" in the subject line OR type your email address
in the "Join Our Email List" box and click on "Join."

395 Totten Pond Rd, Suite 403
Waltham, MA 02451

Telephone: 781-890-2250
Fax: 781-890-2249
email: admin@resolveofthebaystate.org
website: www.resolveofnewengland.org

Important Note: The information contained in this site is not intended to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. Nothing contained in this site is intended to be a substitute for medical diagnosis or treatment.