To register, PRINT this form and either FAX it to Dr. Chet Snow at:  (928) 204-1955 or MAIL it with your check to Dr. Chet Snow - PO Box 1738 -  Sedona, AZ 86339.    We prefer payment by check but we accept Visa, MasterCard or Discover-Card.   No American Express.

Address:___________________________________________________________

City/State/Zip:_____________________________________________________

Phone: (______) _________ _________Your Fax: (______) ______ ________

E-mail address:____________________________________________________

Enter below How many "Early-Bird" 3-Day Passes you want.

_____    Each 2008 "Early-Bird 3-Day Pass"  =  $270

_____    Each 2008  "Early-Bird 3-Day VIP Pass" = $310 (with VIP seating)

_______ Each Monday, 9am-12pm Institute with Dr. Nick Begich = $55

______   A 2008 VIP "Package Pass" (3-Day Pass Plus both Institutes) = $400

$___________    Total AMOUNT, either by check or by credit card.

              Please, make all checks payable to:  "Dr. Chet Snow"

Credit card payments MUST include your home telephone number.

Visa:________Mastercard:_________Discover:_________

Card No :____________   ___________   ____________   ____________

Exp. Date:___________  Signature:__________________________