2006 CFC Regional Workshops
Workshop and Hotel Registration Information

(For Your Record Purposes Only)

Hotel reservations must be made separately from conference registration and are the responsibility of each participant.  The hotels' phone numbers and deadline dates are listed below.  When making your reservations, you must use the group name National CFC Workshops for Ft. Lauderdale and CHC/OPM/CFC Workshops for Palm Springs to receive the discounted room rate.

Hotel Name     _______________________________________

Date reserved     _____________________________________

Confirmation Number     _______________________________

Room Rate     ______________________________________

Save this form for check-in reference.   Address questions or comments to Herb Sanabria at 404-562-1393 or Phil Brown at 410-788-1582.

Do not contact OPM with questions regarding the conference registration or logistics.

NATIONAL CFC REGIONAL WORKSHOP
Registration Form

The workshop registration fee is $200.00. A late registration fee of $250.00 per person will apply for those who register after 2/8/06 for Ft. Lauderdale and 3/9/06 for Palm Springs.  The cost for a spouse or guest to attend a function with a meal is $65.00.

Please submit one registration form for each registrant.  Return form(s) with credit card receipt, check, money order, or government voucher made payable to CFC National Committee. Please include all attendee names(s) on checks, money orders, government vouchers, or credit card receipts.  If the registration deadline has passed, please call for space availability before making travel arrangements.

If using a government training voucher, please submit appropriate copies with the registration forms for attendance verification and direct payment from the sponsoring agency. The name and address of the person to be billed MUST be provided and attached to registration form(s).

For additional information, please contact Herb Sanabria @ 404-562-1393 or Phil Brown @ 410-788-1582.  Please do not contact OPM!

        Name: ____________________________Organization:_____________
        
        Mailing Address: ______________________________________________
        
        Telephone # 	________________	Fax#______________________
        
        E-MAIL:______________________
        
        CFC Name___________________ CFC Code___________
        
        Affiliation:  ___PCFO   ___LFCC   ___Federation/Charity___Volunteer 
        
        Name of Spouse/guest wishing to attend meal functions_______________________________  

        
        Will you need special accommodations or meals?  If so, please list: _____________________
        

Select the workshop you will be attending:

Ft. Lauderdale, FL __March 8-11, 2006                Palm Springs, CA __ April 9-12, 2006
                                   
Method of Payment: __Check __ Money Order __ Government Voucher __ Credit Card

Make Checks, Money Orders, or Government Vouchers payable to: National CFC/NST Group

If using credit card, go to: http://cfcftlauderdale.mollyguard.com or http://palmsprings.mollyguard.com

Mail this Registration Form with your Check, Money Order, Government Voucher, or Credit Card receipt to:

Herb Sanabria
PO BOX 2864
Atlanta, GA 30301

You may fax your registration form to Herb at telephone # 404-562-1395.  If you register via Mollyguard, you must still mail a registration form.

Refunds will only be made for cancellations requested at least one week prior to the Workshop

To download this registration form in MS Word format:

[43.5 KB]