MWDC REGISTRATION FORM
Name: ____________________________________________________________________________________
Address: __________________________________________________________________________________
City: _________________________________________ State: ______________ Zip: ___________________
Phone: ( )_______________________ Email: _______________________________________________
You have five options. Please check ONE.
Option 1: Friday and Saturday - $80.00 This includes Room for Friday night with Lunch and Dinner on
Friday, Breakfast and Lunch on Saturday, and Conference activities for Friday and Saturday.
______ I have enclosed $80.00 for both the Friday and Saturday sessions, Meals and Overnight stay.
Option 2: Friday and Saturday - Not Staying Overnight - $60.00 This includes Lunch and Dinner on
Friday, Breakfast and Lunch on Saturday, and Conference activities for Friday and Saturday.
______ I have enclosed $60.00 for the Friday & Saturday Sessions. I will not be staying overnight on Friday.
Option 3: Saturday only - $40.00 This includes Lunch and Conference activities on Saturday.
______ I have enclosed $40.00 for the Saturday session only.
Option 4: Saturday Lunch and Keynote Speaker - $15.00
______ I have enclosed $15.00 for Saturday Lunch and Keynote Speaker with no other Conference activities.
Option 5: Keynote Speaker (No lunch) - $10.00
______ I have enclosed $10.00 for Saturday Keynote Speaker only.
A limited number of scholarships are available. For a scholarship application, check here: □
If not requesting a scholarship, enclose check or money order so that your space will be reserved.
□ Check here if you need a handicapped-equipped room.
□ Check here if you have special dietary needs. Specify: __________________________________________.
If you have a request for a roommate, enter her name here: __________________________________________.
All available spaces are filled on a first-come, first-served basis.
Select classes here - one class from each session for the days you are attending the conference:
Friday, Session 1: |
Friday, Session 2: |
_____Preserving Your Heritage Through Storytelling |
_____You Can Lose Weight with Hypnosis |
_____Discovering Your True Vocation and Developing Your Personal Mission Statement |
_____Roadmap to Riches on $12.50 a Week |
_____Powder Puff Mechanics |
_____Self Awareness/Self Defense |
Saturday, Session 3: |
Saturday, Session 4: |
_____Parenting Your Parents |
_____Making a Difference in the Lives of Others: One Child at a Time |
_____Making Your Home-Based Business Successful |
_____Stereotypes- Their Danger and How They Unconsciously Affect Our Lives |
_____Fundraising Strategies for Community Groups and Organizations |
_____ ¿Usted Desea Ser Su Propio Jefe? ¡Vamos hablar! Hablar! |
Saturday, Session 5: |
Saturday, Session 6: |
_____Lighten Up! Get Rid of Clutter |
_____Debt Free Living |
_____No Pain, No Gain |
_____Journey to the Center of Your Intuition |
_____Faith and the Modern Woman |
_____Native Americans in the 21st Century: Help From an Unlikely Source |
Print this form and mail to: ODWC, Inc. P.O. Box 1766 Andrews, NC 28901