Registration Form

 

Morgellons Symposium

"Searching for the UNcommon Thread"

March 29, 2008

8:00 AM - 5:00 PM

 

Westoak Woods Baptist Church

Conference Center

2900 Slaughter Lane

Austin, TX

 

*Number of  attendees to be registered   ________

 

*Registrant Name(s)___________________________________________________

 

Address ___________________________________________________________

 

City, State, Zip Code___________________________________________

 

Email address _____________________________________________

 

Fax Number ___________________________

 

*Designate you desired mode of registration confirmation:

Email _____   US Postal mail ______     Fax _____

 

* indicates required field

 

Fee:  A tax deductible contribution of $25.00 to The New Morgellons Order is requested to help cover costs of this event but is not required.  

Please print this completed form and MAIL along with your check or money order (if applicable) to:

The New Morgellons Order

(Charles E. Holman Foundation)

P.O. Box 1109

Lone Star, Texas 75668     OR

 

EMAIL your completed registration form to Admin@theNMO.org   OR

FAX to:

 

The New Morgellons Order/Charles E. Holman Foundation

Fax Number :  903-639-2461

(By sharing your E-mail address with us, we can keep you posted about any issues concerning this conference. We would also like to add this address to our group who receive our regular mailings, updates, and newsletters. If you do not wish to receive such e-mail, please check the box and we will remove your address from our records ASAP after the conference. We will NOT share your e-mail address with ANYONE!)

I do NOT wish to receive E-mail from The New Morgellons Order/Charles E. Holman Foundation after March 29, 2008. _________

Thank You!