Registration for the TAF/Preemie-l Conference July 25th 1998

Please print out the page below, fill in your details, attach a cheque for the appropriate amount, and mail to:
The Alexis Foundation
P.O. Box 1126
Birmingham, MI 48012-1126

Name:

Address:

Email:

Parent registration ($50)
or
Professional registration ($75)

Are you a member of Preemie-l? Yes/No

Will you require accomodation in Detroit? Yes/No

On Friday July 24th
On Saturday July 25th
On both nights

For more information contact Mary Searcy PR/Resource Coordinator for TAF

Return to the Empowering Parents Conference Page || Return to the Preemie-l home page|| Return to The Alexis Foundation home page

Registration for the TAF/Preemie-l Conference July 25th 1998

Please print out the page below, fill in your details, attach a cheque for the appropriate amount, and mail to: The Alexis Foundation P.O. Box 1126 Birmingham, MI 48012-1126

Please print out the page below, fill in your details, attach a cheque for the appropriate amount, and mail to:
The Alexis Foundation
P.O. Box 1126
Birmingham, MI 48012-1126