Mail completed registration form to:

Autism International Association
c/o MicroSpec Registration
4603 Spring Branch Ct.
Louisville, KY 40241

Or fax to: 888-780-0663
 

Autism One 2008
The Westin O'Hare Hotel
May 21-25, Chicago
Registrant Information (Fields marked with a * are mandatory.)
First Name *  
Last Name *  
Referring organization (if applicable)
              (ie: Walk Now / Cure Autism Now, etc)
Significant Other Name First:                           Last:
 
  (if registering for conference)
Title
(if appropriate)
Company
(if appropriate)
Street Address *  
Address2  
City *  
State *  
Zip Code *  
Country *    
Phone *   
Fax  
Email *  
Please answer the following questions:
Mentor Program - I would like a mentor:    Yes    No
Where did you hear about the Autism One conference: 
Are you a :  Parent   Professional
Fee Schedule (please select the following)

Pre-Conference Days
Pre-Conference Day: Wednesday, May 21, The Art of Cooking Special Diets
$69
Pre-Conference Day: Wednesday, May 21, Mom's Health and Happiness
$69
Pre-Conference Day: Thursday, May 22, Defeat Autism Now! Clinical Seminar
Note: Clinician Seminar please Register at Defeat Autism Now!		  
Pre-Conference Day: Thursday, May 22, Special Education Law Day
$69
Pre-Conference Day: Thursday, May 22, First Responders
FREE
Pre-Conference Day: Thursday, May 22, Eating Disorders
FREE
Main Conference Days
Main Conference: 3-Day Pass - includes Sharing *
$249

Significant Other Option: A second 3-Day Pass for significant Other **
(with Main Conference 3-day pass registration only)

$99
1 Day Registrations
1-day passes are not necessary for those who purchase the Main Conference 3-day pass

One Day Registration - Friday May 23

$115

One Day Registration - Saturday May 24

$115

One Day Registration - Sunday May 25

$115

Special Events - Conference Dinners (Please select Number of Dinners)
#Dinners  
  Thursday, May 22 6:00 pm - 9:30 pm
$25
  Saturday, May 24  7:30 pm
$65

Childcare (cost is per session per child)
#Children  

  Days Required

  
  Morning session 7:30 am – 12:30 pm   Wed  Thu   Fri   Sat   Sun
$25
  Afternoon session 12:30 pm – 5:30 pm   Wed  Thu   Fri   Sat   Sun
$25
  All Day 7:30 am – 5:30 pm   Wed  Thu   Fri   Sat   Sun
$40
Please enter the names of the children: 
Individual one-on-one childcare is available for $13.00 per hour. Please call 714.680.0792 to book.
Donation

Please help in our continuing fight against autism..
Become a Patron; make a difference with your donation.
$10 Silver          $25 Gold            $50 Platinum   Other Enter Amount: $

We plan to publish names of our Patrons on our website.
Check here for permission to publish your name:
Payment Information
Payment By * Visa   MasterCard   Amex
Card Number *
(enter WITHOUT spaces)
Expiry *
(MMYY)
Cardholder *
(as it appears on card)
Refund Policy. For registration cancellations, send written notice to Autism One Registration Headquarters
(fax to 888-780-0663) or email to autism@microspec.com (You can also mail to Autism One Conference, c/o MicroSpec Registration, 4603 Spring Branch Ct, Louisville, KY 40241-5526). For notices received prior to April 25, 2008 your registration fee will be refunded less 25% cancellation charge. No credits given for late notices or for "no shows". For questions about the conference, email Registration@autismone.org