Regional Training Center - Title X - Region IV - Cicatelli Associates Inc.

Registration & Payment

NATISHE 2.0
October 11 - 13

Conference Fees

The below fees includes registration, room, board, and unlimited coffee, tea, soda, and water:

Single room: $400

The deadline for registration is Friday, September 30, 2011. No refunds will be issued after October 7, 2011.

Registration Process:

Register ONLINE:
Please complete the online registration below.

ONLINE REGISTRATION FORM

Submit one registration for each participant

Name

Position

Agency

Address

City

State

Zip

Telephone Number

Fax Number

Email

Sex

          Male                                  Female

Have you been to NATISHE before?

          Yes                   No

Room type

          Single $400

- or -

Register by Mail or FAX:
Complete the Registration Form (click here to download the PDF form).

Payment Process:

Pay ONLINE:
via PayPal here

- or -

Send Payment by Mail or FAX:

Print and fill out this payment form and send it along with your check or purchase order payable to Cicatelli Associates Inc.
by September 30, 2011.

Mail to:
Cicatelli Associates Inc.
Attention: Christiana Duodu
505 Eighth Avenue, 16th Floor
New York, NY 10018

Or Fax to:
212.629.3321

You can also pay by credit card (VISA, MasterCard, Discover or Amex)
by calling Christiana Duodu at:
212.594.7741 x 259

   Be sure to complete all information before submitting.