REGISTER ONLINE FOR THE CURRENT TRENDS IN
AUTISM 2011 CONFERENCE

Once you fill out the form below, press the 'Proceed' button. You will be presented with the totals for the options selected. You will then have to press the 'Proceed to Credit Card Information' button on this page to finalize your order and enter your Credit Card details on a Secure Server. Your order will be processed immediately by our payment processor, Authorize.net. Upon completion of the transaction - you will receive a confirmation email. If you have questions, please email Kay at kmurray8@partners.org.

   
REQUIRED FIELDS
Your Details (The details you provide here must match the details on the credit card statement)
First Name
Last Name
Address
City
State
Zip
Phone
Email
   
CONFERENCE ATTENDANCE PREFERENCES
Friday & Saturday
Individual with ASD/ Parent/ Student - $195 Child's Age
Professional - $295 (professional credits applied for)
     If professional, indicate profession:
 
Either Friday or Saturday (Select only one day)
Individual with ASD/ Parent - $125/day Friday or Saturday
Professional - $175/day    Friday or Saturday
 
Saturday Evening Dinner & Panel
Individual/ Parent/ Professional - Additional $37.50
 
PLEASE SELECT THE APPROPRIATE BOXES
Vegetarian Meal Option GFCF
I will be attending the Friday night Awards Reception (No Fee) Yes No
I cannot attend the Awards Reception but will send in a nomination for a deserving individual Yes No
 
MAKE A DONATION
Friends of LADDERS or The Autism Research Foundation
$25 $50 $100 $250 $500 $1000 $2000 $3000 $4000 $5000
 
Indicate 1st and 2nd choices for each breakout session.
Enter 1 or 2 in the text boxes below to indicate first and second preference.
(Refer to schedule)
FRIDAY
Friday 10:45 am SESSION A       SESSION B
Friday 1:00 pm SESSION A       SESSION B
Friday 2:30 pm SESSION A       SESSION B
   
SATURDAY  
Saturday 10:45 am SESSION A       SESSION B
Saturday 1:00 pm SESSION A       SESSION B
Saturday 2:30 pm  SESSION A       SESSION B