MoVA Conference Registration Form

Search MoVA

Site design and maintenance by Rod Garrett - 417.823.8075

Twenty-Fifth Annual MoVA Conference
March 18-20, 2009
Clarion Hotel
Springfield, MO 65807

Room rate: $74
Check back for details!

WE LOOK FORWARD TO SEEING YOU AT THE 2009 ANNUAL MoVA CONFERENCE!!!

Any further questions or comments? Email MoVA at mova_net@yahoo.com, or contact the conference chairperson, Shana Morrison at 417-880-9929 or Phaedra Marriott at 573-636-2460

Call regarding POST and CLE Credits.

Registration and Invoice Form

Click here for a printable form.

Name:

Spouse (if attending):

Organization:

Mailing Address:

City: State: Zip:

Day Telephone: Fax:

E-mail:

Please indicate any special needs:

Conference registration fee includes the luncheons on Wednesday and Thursday, breakfast on Friday, all scheduled breaks and the conference informational packet.

Full Conference Fee	MoVA Member	Non-Member
Early Registration	$100.00	$175.00
Late Registration (after 2/28/09)	$150.00	$225.00
One Day Conference Fee	MoVA Member	Non-Member
Early Registration	$60.00	$80.00
Late Registration (after 2/28/09)	$100.00	$130.00
Which Day?
Student Rates (both days):	Early Registration:$75.00	Registration after 2/28/09: $125.00

ATTENTION: IF YOUR ORGANIZATION PLANS TO PAY FOR MULTIPLE PARTICIPANTS WITH ONE PAYMENT, PLEASE REGISTER EACH PARTICIPANT SEPARATELY WITH THEIR INDIVIDUAL FEE ALONG WITH THE CHECK OR PURCHASE ORDER NUMBER THAT WILL PAY FOR ALL PARTICIPANTS!

Individual Fee Included: $

Check No.: Purchase Order No.:

If you prefer to mail your registration, a printable form is available.

Registrations will not be processed until full payment is received by the MoVA Office. Your submission will not be received if a check or purchase order number is not included in the on-line registration form. If you have questions about the on-line registration process, please call the MoVA Office at 1-800-698-9199. Please make checks payable to MoVA and remit to:

Missouri Victim Assistance Network (MoVA)
ATTN: Conference
P.O. Box 2232
Jefferson City, MO 65102

Cancellation deadline is February 28, 2009. Fees are not refundable after that date!
Hotel Reservation deadline is February 18th, 2009.