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2006 CEANA Convention - INSTANT REGISTRATION FORM

Fill out the following registration form and press the Submit button to Register for CEANA Convention 2006. You may also Click Here to download, fill out, print and send the form.

There will be a flat Convention Fee of $130.00 per person for each attendee (children 12years and above and adults).Children from 5 to 12years accompanied by a parent at all catered events will pay a flat fee of $40.00

Name
Address
Telephone
Cell Phone
Email
Best Time to Contact You?

Association
Arrival Date
Children	Name	Age
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Form of Payment	Money Order Check Teller's Check



	You will be contacted by e-mail or phone to confirm your registration.

All Registrations must be returned by Aug. 10th, to be processed on time. All checks and money orders should be made payable to: UVA-CEANA 2006 and mailed to The President, CEANA 2006, P.O. Box 1189, Bronx, NY 10451