Men Against Breast Cancer - Register for the 2008 Caregivers Conference

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The Third National Male Caregivers Conference

July 25-27, 2008 - The Tremont Plaza Hotel, Baltimore Maryland

Click Here to download the conference brochure

Once your application has been received and approved, you will be contacted by our staff regarding additional conference information

Fields marekd with an * are required

Your Relationship to the woman you are providing care: *

Spouse	Partner	Child
Grandchild	Sibling	Other (Specify)

First Name: *

Last Name: *

Street Address *

City *	State *	Zip *

Daytime Emergency Phone *

Check here if you have a disability and may require reasonable accomodation to fully participate. You will be contacted.


Vegetarian	Vegan
Food Allergy	Other, please call me

Travel Scholarships *

All conference attendees will receive travel scholarships based upon their method of transportation (air, train or car). Scholarships will be tiered as follows: (Please select your form of travel)

Complete travel information will be provided once your application has been received and accepted along with additional conference information.

Air $350.00	Train $175.00	Car $100.00

Lodging

The Tremont Plaza Hotel (www.tremontsuitehotels.com) is an all suite hotel located in downtown Baltimore, MD. Men Against Breast Cancer will make and pay for your hotel reservation upon your acceptance to attend the conference. Attendees will be asked to share rooms in order to maximize the number of conference attendees. If you would like your own room you will be charged the equivalent of one night which is $149 plus applicable taxes. This will be charged to VISA or MASTERCARD information below.

All attendees will be responsible for all incidentals, a credit card can be provided to the hotel upon arrival. Anyone driving to the conference MABC will pay for your parking for 2 nights.

Check Here if you would like your own room
(You will be responsible for paying the equivalent of 1 full night plus any incidentals and applicable sales tax)

Please provide your credit card (MasterCard/Visa) information:

Please contact Men Against Breast Cancer for other payment options at: confinfo@menagainstbreastcancer.org


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