Register today for COMS 2010

Join us for four days of Practice-Building Gems!

Click here for full pricing information.

Register by March 15th to lock in at our regular rates
Register in Threes and Save on your Fees! Register together with two friends and you'll all save 10% off on your registration fees. To receive this discount you must all register on the same day and let us know at time of registration. Payment must be received from all three registrants at the time of registration.

Step 1 - Personal Information

If you are an existing customer of Eastern Currents, we already have your information, so you only need to supply us with your customer account number and email. (The email address is required.)

Customer Number

If you are not a customer of Eastern Currents, please fill in the information section below.

Full Name

Street Address

City	Prov / State

Postal Code

Phone Number

Email Address

Are you a practitioner or a student?

Practitioner

Student

Designation

Step 2 - Course Registration

Please refer to the above tables for course information, and select from the drop down menus your choices of Pre-Symposium Workshops and/or Symposium Days.

Pre-Symposium Workshops:

Symposium Options:

Step 3 - Method of Payment

Note For Early Registrants Only

You can pay in two easy installments if you choose. One half is payable upon registration and the other half by Feb 18, 2012. If paying by cheque send one current and one postdated. By Visa, MC or AMEX we will charge your card once when we receive this form and the second time on Feb 18, 2012.

I would like to pay in two installments

I am paying by:

VISA

MasterCard

AMEX

Cheque (On Account)

If paying by credit card, we will call you for your card information.

Registration with a Friend

Yes! I am registering with a friend to save 10%*

My friend's name is

* To qualify, you must register on the same day and let us know at time of registration. Payment must be received by both registrants at the time of registration.

Step 4 - Review Terms

Cancellation / Refund Policy

$50.00 cancellation fee prior to February 13, 2012
50% refund between February 13-27, 2012
No refund after February 27, 2012

If you would like to add any notes or questions to go with this submission you may do so below:

Friendly faces at COMS 2010