2007 Fall Conference
"The Road to Mental Wellness. . ."
DATE:              Friday, September 14th, 2007
Time:                9:00 a.m. – 2:00 p.m.
Place:               Larue Carter Hospital Auditorium
                         2601 Coldspring Road
                         Indianapolis, IN  46222
TBA



Registration

3 Convient Ways to Register
1) Register online at www.mdwllc.com/immhpa.htm
2) Complete this form and mail to: P.O. Box 88788, Indianapolis, IN
46205
3) Complete this form and fax to: (317) 923-2441
Please make check or money order payable to IMMHPA
Cost
COST:        $85


____My check or money order is enclosed.

____ I wish to pay on-site ($3.00) surcharge applies)

____ I will need to be invoiced ($3.00 surcharge does not apply)


Conference sponsorship opportunities
are available. For more information,
contact (317) 923-3930

________________________________________________________________
.Attendes Name

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Organization

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Address

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City, State, Zip Code

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Phone Number                                        Fax Number

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Contact Person's E Mail Address
Indiana Minority Mental Professional Association
Indiana Minority Mental Health Professional
Association, Inc.
Registration Form
Updated: September 7, 2007