Last updated: 07/01/09

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Home | Midwest Beyond IQ | Program | Young Adults | Registration Payments | Mail

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Beyond IQ: Midwest
Family Dynamics

St. Charles, Illinois, July 10-12, 2009

How To Register:

You can register for Beyond IQ in three ways:

1. By Credit Card or Check – using PayPal
2. By Mail – print out the form below, fill it in, and send us a check (see address at the bottom.)
3. At the door – Walk-ins are welcome.

Beyond IQ Registration Form

Please print this form and bring it with you, even if you have mailed a copy in.
To use a credit card, click here.

Basic Information

Name
Street Address
Street Address
City
State/Province	Zip/Postal Code
Country
Phone Number	Fax Number
Email
Institution (if any, for badge)

Registration Fees

category	Pre-Conference (Friday)	Conference (Sat. + Sun.)	One Day Only (Sat. or Sun.)
1st Adult	$25	$50	$30
2nd Adult	$20	$40	$20
YA/Grad Student	$15	$30	$20
1st Child	N/A	$30	$20
Additional Children (each)	N/A	$25	$15

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Registration type	Family Parent College or Grad Student Teacher Administrator Counselor/Therapist Presenter Presenter w/Family
Number in party:
Age(s) of Child(ren):

For children too young to participate in the children's programming, click here.

Post-secondary Student at:

(if applicable)

If you are registering as a Post-secondary Student, give your institution and be prepared to show a student ID when you pick up your registration material.

TOTAL FOR CONFERENCE REGISTRATION:
Friday Workshops:	Teacher Administrator Counselor/Therapist Combination

Payment Information

If you are paying with a credit card, click here.

If you are paying by check, make it payable to:

Gifted Conference Planners
c/o 7 North End Rd.
Townsend, MA 01469-1124

Comments and Notes

Problems? Questions?

• Contact Gifted Conference Planners.

And finally ...

• Print two copies of this form now; bring one with you and keep one for your own records.

Click here to clear the form and start over: