On-line Registration for Southwest Behavioral Health Center's

2008 Sunshine Conference April 21-22, 2008

Dixie Convention Center in St. George

"Real Time Recovery Planning" presented by Dr. David Mee-Lee

Name:


Organization/Company:


Address:


City:

State:


Zip Code:


Phone Number:


E-Mail (required):


Registration Fees (check appropriate box):
$150 - Full (Two-Day) Conference Fee (received by April 14, 2008):
$100 - Single Day Conference Fee (received by April 14, 2008):
List Date of Single Day:

Please note any special accomodations required:
Hearing Impaired
Sight Impaired
Mobility Impaired
Other

Please print this form and mail along with payment (cash or check) to:

SUNSHINE CONFERENCE
Southwest Behavioral Health Center
ATTN: Mona Griffin
474 West 200 North
St. George, UT 84770

Other Comments or Special Needs: