PS Registration Page

*Required Fields are marked with a red asterisk

How did you hear about this Seminar? (Check all that apply)
Brochure Post Card Web site Email
AAP Publication Past Attendee
Other

names & positions

Name First Registrant

*First Name:
*Last: Name
Street:
City:
State:
*Zip Code:
*Email:
*Phone:
Degree/Specialty
IBCLC Certification Date:
Check here for vegetarian meals
Check here is you have a disability and may require accommodation to fully participate. You will be contacted.

Name Second Registrant (1 per full fee)

*First Name:
*Last: Name
Street:
City:
State:
*Zip:
*Email:
*Phone:
Degree/Specialty
IBCLC Certification Date:
Check here for vegetarian meals
Check here is you have a disability and may require accommodation to fully participate. You will be contacted.

Payment may be made by check or credit card
(Master Card, Visa, Discover, American Express)

Item	Select	Price Each	Total
two day seminar fees
Primary Registrant Fee
Accompanying Adult Registrant Fee (with first registration only)
Medical Associate Discount Fee
Medical Associate Membership Fee
Leader Fee
Leader Incentive Fee (include name of full paying registrant)
Name of Leader or Full Paying Registrant (needed for Leader Incentive Fee)
Resident Physician Fee (with verification letter)
Lunch for non-registrant - Friday
Lunch for non-registrant - Saturday
Donation to USA Helpline Thank You http://www.llleus.org/helpline.html		$
one day seminar fees
Item	Select	Price Each	Total
Primary Registrant Fee
Accompanying Adult Registrant Fee (with first registration only)
Medical Associate Discount Fee
Medical Associate Membership Fee
Leader Fee
Resident Physician Fee (with verification letter)
Lunch for non-registrant - Friday
Lunch for non-registrant - Saturday
Donation to USA Helpline Thank You http://www.llleus.org/helpline.html		$
Grand Total

A confirmation of receipt of your registration will be sent to you by e-mail.

Easy, secure online registration.
—COMING SOON—

Download the Registration Brochure and mail in your registration.
—COMING SOON—

Accommodations are available at a reduced
rate for Seminar registrants at The Westin Providence. For reservations call
800-WESTIN-1 (800-937-8461) and mention
“La Leche League 2008 Physicians’ Seminar”
or make your room reservation online by
clicking the link above. The group rate is available until August 5 - EXTENDED DATE.

Providence, Rhode Island seamlessly blends
the urban sophistication of a big city with the graceful charm of a small town. Sightseers leisurely glide in gondolas on the Providence River past gleaming office buildings. Cobblestone streets lead to some of the finest restaurants in the country. This unique mix entices thousands of visitors annually. Check out photos, fun things to do for the whole family, and more ...