REGISTRATION FORM

International Forum on Consciousness

Conscious Evolution: Awakening Through Our Senses

May 18-19, 2017
BioPharmaceutical Technology Center, Madison, WI

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No Dinner
Add Dinner
Optional Thursday Night
Dinner with a Speaker ($85)
Please note: The drop-down menus below will be activated once you have selected “Add Dinner” above.
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The registration fee is $250 or $335 with optional dinner.

After submitting your registration form you will be provided the option to pay by credit card (VISA or MasterCard) online.

Checks made payable to "BTCI" should be sent to the BTC Institute, 5445 East Cheryl Parkway, Madison, WI 53711.

NOTE: If you have registered and paid for the Forum but cannot attend, you may transfer your registration to a colleague without charge. Full refunds will be made up until two weeks prior to the event. No refunds will be made for withdrawals subsequent to May 4, 2017, or for non-attendance.

    

The BTC Institute will share your contact information with event sponsors, if so requested, unless you specifically advise us (BTC Institute) to keep that information confidential.