Page 13 - Summer2014

WISE TRADITIONS 2014 REGISTRATION FORM

First Name Last Name Name for Badge
____________________________________________________________________________________________________________
Organization/Affiliation Website
____________________________________________________________________________________________________________
Address
____________________________________________________________________________________________________________
City State Zip Code Country
____________________________________________________________________________________________________________
Phone Email rCheck here if you are interested in donating food.
_____________________________________________________________________________ rThis is my first Wise Traditions conference.
MEMBERSHIP: become a member of the Foundation and receive our quarterly journal, full of informative CHAPTER LEADERS
articles as well as sources of healthy food. WAPF members receive a conference registration discount. rI am a chapter leader.
r$40 US Regular Annual Membership r$25 US Student or Senior (62+) r$50 Canadian/International rI plan to attend the chapter leader meeting
Thursday, Nov 6, 10 am - 4 pm
Full conference registration includes conference materials, Friday sessions, Friday lunch, Friday dinner,
Saturday sessions, Saturday lunch, Saturday evening awards banquet, Sunday sessions and Sunday brunch r I will help! Please send me info about how I
By Sept. 5 After Sept. 5 can help promote the conference.
rFull Registration Student/Senior Member* $340. $390.
rFull Registration Student/Senior Non-Member* $365. $415. How did you hear about the conference?
rFull Registration Member $440. $490. rWAPF journal rWAPF email
rFull Registration Non-Member $480. $530. rFriend/colleague rFlyer

rDaily Registration Student/Senior Member* $135. $175. rBlog rTwitter or FB
rDaily Registration Student/Senior Non-Member* $160. $200. rWeb advertisement rWAPF website
rDaily Registration Member $185. $225.
rDaily Registration Non-Member $225. $265. rPinterest rRadio
rFriday Dinner & Evening Events $ 60. $ 85. rAnother conference rChapter
rSaturday Evening Awards Banquet $ 75. $100. rOther, please specify__________________
r Monday Posture and Movement (8-4, includes lunch) $ 100. $100.
r Monday Farm Tour (8-5, includes lunch) $ 100. $100. What is your current occupation?
r Monday Raw Milk Series (8-4, includes lunch) $ 100. $100. rMedical Practitioner rFarmer
r Monday Homeopathy Workshop (8-4, includes lunch) $ 100. $100. rNutritionist rHomemaker
r Monday MRT Energetic Testing $ 100. $100. rDentist rStudent
r Monday WAPF Cooking (8-4, includes lunch) $ 100. $100. rChiropractor rRetired
* Student/Seniors must show ID. Senior is 62 and older. rNurse rTeacher
If you are attending as a daily registrant, please indicate the day(s) you will be attending: rAgriculture Professional rJournalist
rFriday November 7 Registration includes conference materials, Friday sessions and Friday lunch rArtisan Worker rChef
rSaturday November 8 Registration includes conference materials, Saturday Joint sessions and Saturday lunch
rSunday November 9 Registration includes conference materials, Sunday sessions and Sunday brunch rOther, please specify__________________
PLEASE FAX OR MAIL THIS FORM TO:
Friday Seminar Choice – please select one for planning purposes only, not binding. rNourishing Trad. Diets Fax: (540) 301-3536
rGut and Psychology Syndrome rFat Soluble Activators rWhole Organic Foods rFarming Mail:
Friday Evening Choice – please select one for planning purposes only, not binding. WAPF Wise Traditions Conference
rRadical Medicine rVaccines rEnvironmental Toxicity rArt of Eating When Healthy rTake Back Your Power 1900 Jones Road
Winchester, VA 22602
Saturday Choice – please select one for planning purposes only, not binding.
rMain General Session: Focus on Food rWellness rFarming & Gardening Contact:
Registration (540) 722-7104
Sunday Seminar Choice – please select one for planning purposes only, not binding. registrar@ptfassociates.com or
rFood and Nutrition rInterpreting Blood Tests/diagnosis rNative Ways rDental rMaking it Practical WAPF (202) 363-4394
info@westonaprice.org
Children's Program (Child must be age 3-12 and potty trained.)
______Child’s Name(s)_______________________________________________________________Age(s)_______ Poster Presentation info:
info@westonaprice.org
______@ $225 per child for Friday to Sunday includes Friday lunch & dinner, Saturday lunch, Sunday brunch
rGF/CF meals OR r GF only OR r CF only for ____ children OR ____@ $150 per child, includes no meals. PLEASE NOTE:
Continuing Education Credits for RNs & LAcs. A $5 certificate of attendance is available. It suffices for RDs & nutritionists. One adult registration per form, please.
rRN rLAc - rAll 3 days $65 rFriday $25 rSaturday $25 rSunday $25//rRD or nutr. rCert of Attend. $5. Forms submitted without payment
will not be processed.
Payment Processing
Total Due:______________rMasterCard rVisa rCheck Payment/Money Order (make payable to WAPF) NO REFUNDS will be issued after
Full Name Security Code (3 digits on back of card) December 31, 2014.

_____________________________________________________________________________________________ FOR FURTHER INFORMATION
Card Number Expiration Date http://conferences.westonaprice.org/
_____________________________________________________________________________________________ main-conference/
By submitting this form, I authorize Wise Traditions to charge the applicable registration fees. I understand that all cancellations must be submitted in writing and must be received
by October 18, 2014 to be eligible for a refund, less a $25.00 administrative fee. All refunds will be issued following the conference. Substitutions will be permitted at any time.
Registration packets will not be mailed and must be picked up on-site at the conference registration desk at the JW Marriott Hotel, Indianapolis, IN.
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