Oct. 28-29, 2011 : SALT LAKE CITY, UT

Nov. 4-5 , 2011 : SEATTLE, WA

Jan. 27-28 , 2012 : LOS ANGELES, CA

Feb. 10-11 , 2012 : SAN FRANCISCO, CA

Mar. 2-3, 2012 : PHOENIX, AZ

Or fax or mail this form to:
Sports Nutrition Workshop, P.O. Box 650124, West Newton, MA 02465
Fax: 617-963-7408 
Make check payable to Sports Nutrition Workshop. Purchase orders accepted.

Name _________________________________________________

Business/Occupation ______________________________________________

Mailing Address _________________________________________

City/State/Zip ___________________________________________

Specialty/Type of Work ___________________________________

Phone (daytime) _________________________________________

E-Mail _________________________________________________

Registration Fee:
_____$229    _____$135 Friday only     _____$135 Saturday only
_____$134 Dietetic interns, full time students (email proof of registration)
_____Group discount: $199 each for 4 or more registrants

Price includes refreshment breaks and handout materials.

Please register early. If registration is postmarked later than Friday one week before the workshop, add $25 late fee. Phone, fax, Web site or e-mail reservations are accepted the Monday and Tuesday before the workshop at $229; add $25 later fee after that.

Phone: 501-952-2947   E-mail: NClarkRD@aol.com
Fax: 617-963-7408 
Onsite registration: $25 fee for on-site registration, space available.

Cancellation: The fee less $35 will be refunded if notice is received by 4 p.m. on the Tuesday prior to the workshop. No refunds thereafter.

Want a roommate? With advance notice, we will try to match you up.

Payment: Check_____   Visa_____   MC_____   PO_____   Tax ID 04-2968-975

Credit Card # ____________________________________  Exp_____/_____ SEC_____

Signature ____________________________________

Make check payable to Sports Nutrition Workshop and mail to:
Sports Nutrition Workshop, P.O. Box 650124, West Newton, MA 02465